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Contact Information

EDWARD W COSS JR, MD
196 PARKWAY S
SUITE 201
WATERFORD, CT06385-1234
 Phone: 860-443-1111
 Fax: 860-443-7090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for EDWARD W COSS JR · (Male)

NPI # 1275665564
Status Active
Credentials MD
Entity Individual
Enumeration date 03/12/2007
Last updated 01/30/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 19584
  • CT Medicaid 001195841
  • CT Other 111210 ANTHEM
  • CT Other 010019584CT01 BLUE CROSS BLUE SHIELD
  • CT Other 0V8993 HEALTHNET
  • CT Other 163373 MHN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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