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David W. Kossoff, M.d., Llc
Specialist in Frederick, Maryland
NPI 1437206984

David W. Kossoff, M.d., Llc is a Specialist based in Frederick, MD. David W. Kossoff, M.d., Llc practices in Frederick, MD. The NPI Number for David W. Kossoff, M.d., Llc is 1437206984 and holds a License No. D0054121 (Maryland).

The current practice location address for David W. Kossoff, M.d., Llc is 70 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-624-5566 and via fax at 301-624-5542.

Location: 70 Thomas Johnson Dr, Frederick, MD, 21702-4361
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437206984
Provider Name
David W. Kossoff, M.d., Llc
Credential
Provider Entity Type
Organization
Address
70 Thomas Johnson Dr, Frederick, MD, 21702-4361
Phone Number
301-624-5566
Fax Number
301-624-5542
Provider Enumeration Date
01/05/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
4040001 01 MD CAREFIRST NAT CAP AREA
494710 01 MD NCPPO
682BDA 01 MD CAREFRIST OF MD
376329 01 MD MDIPA OPT CHOICE
P10152 01 MD INFORMED
P00206418 01 MD RAILROAD MEDICARE
133102701 05 MD
institution
Provider Business Practice Location Address Details
Address
70 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4361
Phone Number
301-624-5566
Fax Number
301-624-5542
person
Provider Business Mailing Address Details
Address
70 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4361
Phone Number
301-624-5566
Fax Number
301-624-5542
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
D0054121 (Maryland)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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