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NPI Code Detail

MEDICARE: DR. BARBARA HUGHES KOSTICK M.D.

MEDICARE: DR. BARBARA HUGHES KOSTICK M.D.
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
1207Q00000XFamily Medicine PhysicianG24535CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1943300810OTHERCATAX ID
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104840586
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA HUGHES KOSTICK M.D.
Provider Business Mailing Address
First Line : 38069 MARTHA AVE
Second Line : SUITE 300
City : FREMONT
State : CA
Zip : 94536-3811
Country : US
Telephone Number : 510-608-4800
Fax Number :
Provider Business Practice Location Address
First Line : 38069 MARTHA AVE
Second Line : SUITE 300
City : FREMONT
State : CA
Zip : 94536-3811
Country : US
Telephone Number : 510-608-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/08/2007

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