Provider Demographics
NPI:1417701038
Name:COZMA, VALER
Entity Type:Individual
Prefix:
First Name:VALER
Middle Name:
Last Name:COZMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 GORE ORPHANAGE RD
Mailing Address - Street 2:
Mailing Address - City:WAKEMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44889-9560
Mailing Address - Country:US
Mailing Address - Phone:440-522-2937
Mailing Address - Fax:
Practice Address - Street 1:11110 GORE ORPHANAGE RD
Practice Address - Street 2:
Practice Address - City:WAKEMAN
Practice Address - State:OH
Practice Address - Zip Code:44889-9560
Practice Address - Country:US
Practice Address - Phone:440-522-2937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide