Individual
DR. MITCHELL ANDREW KOSANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 734-6100
(412) 734-6800
Mailing address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 734-6100
(412) 734-6800
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD072543L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018311590003
—
PA
Enumeration date
08/12/2005
Last updated
10/13/2020
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