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Individual
THOMAS A KOCOSHIS
Active
Individual
THOMAS A KOCOSHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
01025385A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007076
M PLAN
IN
01
—
000000083409
BLUE CROSS BLUE SHIELD
IN
01
—
020434700
BLACK LUNG
—
05
—
100332930
—
IN
05
—
2099554
—
OH
01
—
6470
PHYSICIAN HEALTH PLAN
IN
Enumeration date
08/17/2006
Last updated
02/24/2016
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