Individual
DR. JEFFREY HARRIS KOSSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
414 FIRESIDE LN, CHERRY HILL, NJ 08003-3418
(856) 429-0458
Mailing address
414 FIRESIDE LN, CHERRY HILL, NJ 08003-3418
(856) 429-0458
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA03057400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7196202
—
NJ
Enumeration date
05/25/2006
Last updated
11/13/2009
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