Individual
JON JEFFREY KOSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 BROUGHTON RD STE B, BETHEL PARK, PA 15102-2836
(412) 851-3223
(412) 851-3225
Mailing address
403 ROCKLEDGE DR, VENETIA, PA 15367-1601
(260) 239-1175
(412) 851-3225
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
46233601
PA
374U00000X
Home Health Aide
46233601
PA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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