Provider Demographics
NPI:1467089862
Name:COZZARIN, ALEXANDRA CATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CATHERINE
Last Name:COZZARIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 GRANGE DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-5633
Mailing Address - Country:US
Mailing Address - Phone:215-595-4897
Mailing Address - Fax:
Practice Address - Street 1:601 EWING ST STE A10
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2754
Practice Address - Country:US
Practice Address - Phone:609-497-1188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-25
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ074321223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics