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NPI Code Detail

MEDICARE: EDWARD KOSINSKI MD

MEDICARE:   EDWARD  KOSINSKI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician028696CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598728594
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD KOSINSKI MD
Provider Business Mailing Address
First Line : 1177 SUMMER ST
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5572
Country : US
Telephone Number : 203-353-1133
Fax Number :
Provider Business Practice Location Address
First Line : 4675 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-1813
Country : US
Telephone Number : 203-683-5100
Fax Number : 203-683-5140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2006
Last Update Date : 03/19/2014

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Directions to “ EDWARD KOSINSKI MD” Practice Location

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