Individual
DR. JOHN ANDREW HOSAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
335 3RD AVE, KINGSTON, PA 18704-5819
(570) 283-1750
(570) 283-1752
Mailing address
335 3RD AVE, KINGSTON, PA 18704-5819
(570) 283-1750
(570) 283-1752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 016013 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005229270002
—
PA
05
—
0005229270004
—
PA
Enumeration date
10/18/2006
Last updated
03/15/2016
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