Individual
JUDE D KOTSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1608 BOHNHOFF DR, VIRGINIA BEACH, VA 23454-2534
(267) 455-4356
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101247695
VA
207P00000X
Emergency Medicine Physician
Primary
164120
NC
Other
Enumeration date
05/24/2007
Last updated
02/26/2020
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