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Organization

NASHUA PODIATRY ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ROSS KOSOFSKY DPM (DIRECT OWNER)
(603) 880-9177
Entity
Organization

Contact information

Practice address
166 KINSLEY ST, STE 201, NASHUA, NH 03060-3676
(603) 880-9177
(603) 880-9672
Mailing address
166 KINSLEY ST, STE 201, NASHUA, NH 03060-3676
(603) 880-9177
(603) 880-9672

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NH166
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30364139
NH
05
30364153
NH
05
30364154
NH
01
DC3586
PALMETTO GBA RAILROAD MEDICARE
NH
Enumeration date
03/20/2007
Last updated
02/03/2010
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