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Charles Richard Kossman, MD
Hematology & Oncology Physician in San Diego, California
NPI 1184799892

Charles Richard Kossman is a Hematology & Oncology Physician based in San Diego, CA and is specialized in Hematology & Oncology. Charles Richard Kossman practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Charles Richard Kossman is 1184799892 and holds a License No. G28857 (California).

The current practice location address for Charles Richard Kossman is 5555 Reservoir Dr, San Diego, CA and can be reached out via phone at 619-287-9910 and via fax at 619-287-3526.

Location: 5555 Reservoir Dr, San Diego, CA, 92123-2773
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184799892
Provider Name
Charles Richard Kossman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5555 Reservoir Dr, San Diego, CA, 92123-2773
Phone Number
619-287-9910
Fax Number
619-287-3526
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CN534Z 01 CA MEDICARE INDIVIDUAL PTAN
1629046925 01 CA MEDICAL ONCOLOGY ASSOCIATES OF SAN DIEGO NPI
G28857 01 CA CA LIC
AK7033171 01 CA D.E.A
institution
Provider Business Practice Location Address Details
Address
5555 Reservoir Dr
City
San Diego
State
California
Zip
92120-5134
Phone Number
619-287-9910
Fax Number
619-287-3526
person
Provider Business Mailing Address Details
Address
5555 Reservoir Dr
City
San Diego
State
California
Zip
92120-5134
Phone Number
619-287-9910
Fax Number
619-287-3526
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
G28857 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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