Individual
SPENCER J KOSTINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 S 8TH ST, PHILADELPHIA, PA 19106-3520
(215) 829-5514
Mailing address
245 S 8TH ST, PHILADELPHIA, PA 19106-3520
(215) 829-5514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD424781
PA
Other
Enumeration date
05/15/2007
Last updated
08/14/2014
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