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David W Kossoff, MD
Specialist in Frederick, Maryland
NPI 1629152582

David W Kossoff is a Specialist based in Frederick, MD. David W Kossoff practices in Frederick, MD and has the professional credentials of MD. The NPI Number for David W Kossoff is 1629152582 and holds a License No. D0054121 (Maryland).

The current practice location address for David W Kossoff is 56 Thomas Johnson Dr, Frederick, MD and can be reached out via phone at 301-624-5566 and via fax at 301-624-5542.

Location: 56 Thomas Johnson Dr, Frederick, MD, 21702-4599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629152582
Provider Name
David W Kossoff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
56 Thomas Johnson Dr, Frederick, MD, 21702-4599
Phone Number
301-624-5566
Fax Number
301-624-5542
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P10152 01 MD INFORMED
376329 01 MD ALLIANCE MAMSI
P00206418 01 MD RAILROAD MEDICARE
494710 01 MD NCPPO
682BDA 01 MD CAREFIRST OF MARYLAND
K4040001 01 DC CAREFIRST OF NATIONAL CAP
133102701 05 MD
2027119 01 MD UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
56 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4599
Phone Number
301-624-5566
Fax Number
301-624-5542
person
Provider Business Mailing Address Details
Address
56 Thomas Johnson Dr
City
Frederick
State
Maryland
Zip
21702-4599
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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