Individual
DAVID W KOSSOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 THOMAS JOHNSON DR STE 335, FREDERICK, MD 21702-4949
(301) 624-5566
(301) 624-5542
Mailing address
110 THOMAS JOHNSON DR STE 335, FREDERICK, MD 21702-4949
(301) 624-5566
(301) 624-5542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0054121
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133102701
—
MD
01
—
2027119
UNITED HEALTHCARE
MD
01
—
376329
ALLIANCE MAMSI
MD
01
—
494710
NCPPO
MD
01
—
682BDA
CAREFIRST OF MARYLAND
MD
01
—
K4040001
CAREFIRST OF NATIONAL CAP
DC
01
—
P00206418
RAILROAD MEDICARE
MD
01
—
P10152
INFORMED
MD
Enumeration date
10/25/2006
Last updated
09/17/2025
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