Individual
DR. VITALIY KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 405, ALLENTOWN, PA 18103-6224
(610) 402-8420
(610) 402-1689
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD439043
PA
Other
Enumeration date
07/16/2010
Last updated
01/08/2016
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