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Individual

DR. DAVID C KOSSOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.P. PH.D.

Contact information

Practice address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(908) 797-3127
Mailing address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(908) 797-3127

Taxonomy

Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
RI015665
NJ
1835P1200X
Pharmacotherapy Pharmacist
RI015665
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548460033
NJ
Enumeration date
07/23/2007
Last updated
06/29/2014
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