Individual
JENNIFER KOSTACOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 VILLAGE RD STE 101, HORSHAM, PA 19044-3819
(267) 207-3100
(267) 207-3111
Mailing address
3 VILLAGE RD STE 101, HORSHAM, PA 19044-3819
(267) 207-3100
(267) 207-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD073793
PA
Other
Enumeration date
04/20/2012
Last updated
09/22/2022
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