Individual
PATRICK MATTHEW KOSCIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 558-4831
(513) 558-4858
Mailing address
2830 VICTORY PKWY, CINCINNATI, OH 45206-1785
(513) 245-3072
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65817
WI
207RP1001X
Pulmonary Disease Physician
Primary
35.131070
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2014
Last updated
04/22/2021
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