Provider Demographics
NPI:1548268956
Name:CUOZZO, LILIA A (MD)
Entity type:Individual
Prefix:
First Name:LILIA
Middle Name:A
Last Name:CUOZZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1177 PROVIDENCE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-329-1400
Mailing Address - Fax:781-769-9017
Practice Address - Street 1:1177 PROVIDENCE HIGHWAY
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-329-1400
Practice Address - Fax:781-278-5667
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80679208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
080679OtherTUFTS
200982OtherHARVARD PILGRIM PPO
080679OtherTUFTS BENEFIT ADMIN
1240487OtherUNITED HEALTHCARE (PPO)
5400890OtherHEALTHSOURCE MASSACHUSETT
5400890OtherCIGNA HEALTH CARE
0016057OtherNEIGHBORHOOD HEALTH PLAN
080679OtherTUFTS TOTAL HEALTH PLAN
200982OtherHARVARD/PILGRIM
G03374OtherFIRST SENIORITY
J31498OtherBS-BLUE CARE ELECT
200982OtherHARVARD PILGRIM POS
080679OtherTUFTS COMMONWEALTH PPO
J31498OtherBLUE SHIELD INDEMNITY
J31498OtherHMO BLUE/BLUE CHOICE
27359OtherCHILDREN'S MEDICAL SECURI
3138551OtherMASS HEALTH(DIV OF MED SV
080679OtherTUFTS TOTAL HEALTH PLAN
A20031Medicare ID - Type Unspecified