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Individual

DR. JOSEPH MICHAEL KOSTUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
306 CURRY HOLLOW RD, PITTSBURGH, PA 15236-4621
(412) 650-7779
Mailing address
73 HENNIG DR, PITTSBURGH, PA 15236-1523
(412) 650-7779

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009021
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1546432
PA
Enumeration date
12/27/2006
Last updated
07/08/2007
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