Organization
MARK A. KOSTOW CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDERS KOSTOW (OWNER)
(717) 533-2100
Entity
Organization
Contact information
Practice address
1 BRIARCREST SQ, HERSHEY, PA 17033-2359
(717) 533-2100
Mailing address
1 BRIARCREST SQ, HERSHEY, PA 17033-2359
(717) 533-2100
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005335L
PA
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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