Individual
JOANN KOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA, PA-C
Contact information
Practice address
824 MCALPINE ST, AVOCA, PA 18641-1140
(570) 457-9299
(570) 457-5014
Mailing address
824 MCALPINE ST, AVOCA, PA 18641-1140
(570) 457-9299
(570) 457-5014
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA000366L
PA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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