Individual
DR. ERIC MYLES KOSOFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
999 ASYLUM AVE STE 111, HARTFORD, CT 06105-2416
(860) 523-8026
(860) 523-7622
Mailing address
999 ASYLUM AVE STE 111, HARTFORD, CT 06105-2416
(860) 523-8026
(860) 523-7622
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000468
CT
213ES0131X
Foot Surgery Podiatrist
000468
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004162476
—
CT
01
—
0190960002
CIGNA
—
01
—
030000468CT04
ANTHEM BLUE CROSS
CT
01
—
0533188
AETNA
—
01
—
060468
CONNECTICARE
CT
01
—
061280198
UNITED HEALTHCARE
—
01
—
061280198003
ALLIED HEALTH GROUP
—
01
—
0744660001
HEALTH NOW OF NEW YORK
—
01
—
0P0501
HEALTHNET
—
01
—
480007333
RAILROAD MEDICARE
—
01
—
C14746
RAILROAD MEDICARE
—
01
—
HAS384
ORTHONET/OXFORD
—
Enumeration date
12/27/2005
Last updated
01/05/2021
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