Individual
DR. BRIAN R KOSOBUCKI
Active
Individual
DR. BRIAN R KOSOBUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200401088
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
200401088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137HT
BCBS
NC
05
—
1689048423
—
NC
01
—
804621
PARTNERS
NC
01
—
NCR000F360
MEDICARE PTAN
—
Enumeration date
09/16/2006
Last updated
01/15/2024
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