Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Marie Cozzone

Individual provider Surgical Physician Assistant · NPI 1366607780

Gina Marie Cozzone is a Physician Assistant in Paoli, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Main Line Healthcare, a 1,153-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
18
Licensed in
PA
In the registry since
2008

Practice location Address checks out

255 W Lancaster Ave Ste 104 Medical Bldg I
Paoli, PA 19301-1763
Phone: (484) 527-0404
Fax: (484) 527-0408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MA055451 (PA)

Record details

NPI number1366607780
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2008
Last updated in NPPESFebruary 7, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Paoli