Provider Demographics
NPI:1386758324
Name:COCOZZA, JANET S (MA,RN,APN,C)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:S
Last Name:COCOZZA
Suffix:
Gender:F
Credentials:MA,RN,APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 WAGUSH TRL
Mailing Address - Street 2:
Mailing Address - City:MEDFORD LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-1730
Mailing Address - Country:US
Mailing Address - Phone:609-654-6994
Mailing Address - Fax:
Practice Address - Street 1:733 E ROUTE 70
Practice Address - Street 2:BLDG. 4, SUITE 406
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-2300
Practice Address - Country:US
Practice Address - Phone:856-985-9116
Practice Address - Fax:856-985-9188
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO04860500163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult