Individual
MR. CARL RICHARD COSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34000209A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000143216
ANTHEM
IN
01
—
075209000
MAGELLAN
IN
05
—
200806690A
—
IN
01
—
280482
VALUE OPTIONS
IN
01
—
4405313
AETNA
IN
Enumeration date
07/02/2006
Last updated
12/02/2008
Update your record
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