| Lisa Cossaboon, | |
|
372 Egg Harbor Rd Ste 4a, Sewell, NJ 08080-1988 | |
| (856) 218-5900 | |
| (856) 497-5207 |
| Full Name | Lisa Cossaboon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 372 Egg Harbor Rd Ste 4a, Sewell, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437892981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ01294300 (New Jersey) | Primary |
| Entity Name | Internal Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801826565 PECOS PAC ID: 6305735549 Enrollment ID: O20040315000354 |
| Entity Name | Consensus Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811466881 PECOS PAC ID: 2961748181 Enrollment ID: O20190109001851 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Cossaboon, 134 Bridgeton Pike Ste C, Mullica Hill, NJ 08062-2616 Ph: (856) 507-2783 | Lisa Cossaboon, 372 Egg Harbor Rd Ste 4a, Sewell, NJ 08080-1988 Ph: (856) 218-5900 |
Gloria L Jackson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Medical Center Dr Ste 200, Sewell, NJ 08080 Phone: 856-557-7900 | |
Rosalin Ivanay Thompson-cordoba, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 239 Hurffville Crosskeys Rd Ste 2, Sewell, NJ 08080 Phone: 856-262-8300 | |
Ms. Alaina Marie Guiliana, FNP-BC RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 307 Egg Harbor Rd, Sewell, NJ 08080 Phone: 186-638-9272 | |
Mr. Michael Joseph Kinney, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080 Phone: 856-582-0033 Fax: 856-582-2305 | |
Parminder Bath Sohal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Medical Center Dr Ste 200, Sewell, NJ 08080 Phone: 856-557-7900 | |
Rafia Nicola Grooms, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 432 Ganttown Rd Ste 103, Sewell, NJ 08080 Phone: 856-965-1000 Fax: 856-965-1001 | |
Alison Elizabeth Prudente, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 123 Egg Harbor Rd Ste 703, Sewell, NJ 08080 Phone: 856-556-0860 |