MEDICARE: DR. ANTHONY D. COZZOLINO JR. DPM

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	213E00000X	Podiatrist	36.003394	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000351734	OTHER	OH	ANTHEM PIN
2	311253312-00	OTHER	OH	WORKERS COMP, RICK#097710

General Provider Information

NPI Number	:	1336215623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY D. COZZOLINO JR. DPM

Provider Business Mailing Address
First Line	:	1275 OLENTANGY RIVER RD STE 10
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3119
Country	:	US
Telephone Number	:	614-291-5555
Fax Number	:	614-291-7720

Provider Business Practice Location Address
First Line	:	1275 OLENTANGY RIVER RD STE 10
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3119
Country	:	US
Telephone Number	:	614-291-5555
Fax Number	:

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	06/12/2023

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Directions to “ DR. ANTHONY D. COZZOLINO JR. DPM” Practice Location

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