MEDICARE: MADELINE COSME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	1538650	NJ

General Provider Information

NPI Number	:	1194351494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE COSME

Provider Business Mailing Address
First Line	:	55 IRVING ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-3523
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 IRVING ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07104-3523
Country	:	US
Telephone Number	:	201-259-4048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2020
Last Update Date	:	03/18/2020

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Directions to “ MADELINE COSME ” Practice Location

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