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Individual

DR. DAVID R. KOSOFSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
166 KINSLEY ST STE 201, NASHUA, NH 03060-3676
(603) 880-9177
(603) 880-9672
Mailing address
166 KINSLEY ST STE 201, NASHUA, NH 03060-3676
(603) 880-9177
(603) 880-9672

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
166
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0308265Y0NH02
ANTHEM BLUE CROSS BLUE SHIELD
NH
05
30364153
NH
01
DC3586
PALMETTO GBA RAILROAD MEDICARE
NH
Enumeration date
12/20/2005
Last updated
02/03/2010
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