Individual
MICHAEL KOSOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(603) 493-4417
Mailing address
945 N 5TH ST APT B, PHILADELPHIA, PA 19123-1401
(603) 493-4417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A186156
CA
207P00000X
Emergency Medicine Physician
MT220757
PA
Other
Enumeration date
06/10/2020
Last updated
06/12/2023
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