Individual
AMANDA JEAN KOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
540 SAYBROOK RD, MIDDLETOWN, CT 06457-4711
(860) 358-6875
Mailing address
80 S MAIN ST, MIDDLETOWN, CT 06457-3648
(860) 358-6875
(860) 358-8693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56533
CT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
56533
CT
Other
Enumeration date
03/29/2012
Last updated
12/23/2019
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