Provider Demographics
NPI:1467944587
Name:COSCIA, MICHAEL ANGELO III (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANGELO
Last Name:COSCIA
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-9800
Mailing Address - Country:US
Mailing Address - Phone:570-271-7149
Mailing Address - Fax:570-271-7165
Practice Address - Street 1:100 NORTH ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-271-7149
Practice Address - Fax:570-271-7165
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2025-01-24
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Provider Licenses
StateLicense IDTaxonomies
PAOS0229072086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty