Basic Information
Provider Information
NPI: 1194990382
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COJOCARU
FirstName: ANA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 277 PLEASANT ST
Address2: PRIMA CARE MEDICAL
City: FALL RIVER
State: MA
PostalCode: 027213005
CountryCode: US
TelephoneNumber: 5086763292
FaxNumber:  
Practice Location
Address1: 277 PLEASANT ST
Address2: PRIMA CARE MEDICAL
City: FALL RIVER
State: MA
PostalCode: 027213005
CountryCode: US
TelephoneNumber: 5086763292
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/28/2008
LastUpdateDate: 06/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X241997MAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207R00000X241997MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X241997MAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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