Individual
NATHAN R KOSCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
48 TUNNEL RD, POTTSVILLE, PA 17901-3875
(570) 622-5555
Mailing address
48 TUNNEL RD, POTTSVILLE, PA 17901-3875
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA063560
PA
Other
Enumeration date
01/18/2024
Last updated
10/20/2025
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