Individual
JOHN A KOSTEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, 2 WEST, PHILADELPHIA, PA 19104
(215) 615-5858
Mailing address
3400 CIVIC CENTER BOULEVARD, 2 WEST, PHILADELPHIA, PA 19104
(215) 615-5858
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
25MA08581700
NJ
207RH0003X
Hematology & Oncology Physician
Primary
MD426127
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102308455-0001
—
PA
Enumeration date
09/24/2008
Last updated
10/23/2013
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