Individual
MRS. ANDREA DINGMAN KOSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 YORK STREET, YNHH NBSCU, NEW HAVEN, CT 06412
(203) 688-2320
Mailing address
34 HALF MILE RD, NORTH HAVEN, CT 06473-3507
(203) 809-5908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000821
CT
Other
Enumeration date
07/25/2006
Last updated
02/18/2013
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