Provider Demographics
NPI:1508449026
Name:COGNATA, VICTORIA (PA)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:COGNATA
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8519
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-8519
Mailing Address - Country:US
Mailing Address - Phone:732-460-9840
Mailing Address - Fax:732-460-9848
Practice Address - Street 1:363 HWY 36
Practice Address - Street 2:
Practice Address - City:PORT MONMOUTH
Practice Address - State:NJ
Practice Address - Zip Code:07758-1359
Practice Address - Country:US
Practice Address - Phone:732-471-0400
Practice Address - Fax:732-471-7949
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2022-02-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant