Individual
DR. JOHN ANDREW KOSCHAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
315 CHURCH ST, KINGSTON, PA 18704-5601
(570) 288-3400
(570) 288-3400
Mailing address
315 CHURCH ST, KINGSTON, PA 18704-5601
(570) 288-3400
(570) 288-3400
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC003385L
PA
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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