Individual
ROBERT E KOSSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
378 MAPLE AVE, SHREWSBURY, MA 01545-2673
(508) 852-8571
(508) 535-1662
Mailing address
5 NEPONSET ST FL STREET2, WORCESTER, MA 01606-2714
(508) 368-5532
(508) 535-1662
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
157064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
ONE HEALTH PLAN
—
01
—
2039833
FIRST HEALTH
—
01
—
3185290
WELFARE
—
05
—
3185290
—
MA
01
—
33366
CHILDRENS MEDICAL SECURIT
—
01
—
3356112
CIGNA HEALTH PLAN
—
01
—
33721
FALLON COMMUNITY HEALTH
—
01
—
5978731
AETNA US HEALTHCARE
—
01
—
784155
MVP HEALTH CARE
—
01
—
AA1175
HARVARD PILGRIM HEALTHCAR
—
01
—
J19477
BLUE SHIELD HMO BLUE
—
Enumeration date
04/20/2006
Last updated
03/26/2019
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