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Individual
CHARLES RICHARD KOSSMAN
Active
Individual
CHARLES RICHARD KOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G28857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629046925
MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO NPI
CA
01
—
AK7033171
D.E.A
CA
01
—
CN534Z
MEDICARE INDIVIDUAL PTAN
CA
01
—
G28857
CA LIC
CA
Enumeration date
11/21/2006
Last updated
11/08/2012
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