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Individual

MALGORZATA A LOSOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 366-1868
Mailing address
131 CONTINENTAL DR, SUITE 200, NEWARK, DE 19713-4305
(302) 366-1868

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0009530
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C1-0009530
DELAWARE LICENSE
DE
Enumeration date
10/20/2010
Last updated
10/20/2010
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