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Individual

KATHERINE ANNE KOSIV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
15 YORK ST, NEW HAVEN, CT 06510-3221
(203) 785-2022
Mailing address
163 WOODLAWN ST, HAMDEN, CT 06517-1341
(646) 234-5020

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.061915
IL
2080P0202X
Pediatric Cardiology Physician
Primary
63959
CT

Other

Enumeration date
07/02/2012
Last updated
08/29/2019
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