Individual
MARK N. COSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 374-1400
Mailing address
PO BOX 634704, CINCINNATI, OH 45263-0042
(440) 842-7990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-00-0962
OH
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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