Individual
DR. BARBARA HUGHES KOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
38069 MARTHA AVE, SUITE 300, FREMONT, CA 94536-3811
(510) 608-4800
Mailing address
38069 MARTHA AVE, SUITE 300, FREMONT, CA 94536-3811
(510) 608-4800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G24535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
943300810
TAX ID
CA
05
—
ZZZ21188Z
—
CA
Enumeration date
07/27/2006
Last updated
07/08/2007
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