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Provider Information for 1528233251


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TOMASZ ROMAN KOSOWSKI MD


Sex: Male

NPI: 1528233251
Last Updated: 2018-09-17
Certification Date:

Details

NameValue
NPI1528233251
Enumeration Date2008-04-24
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 3129 ALTERNATE 19
DUNEDIN, FL 34698-1503
United States

Phone: 305-988-0898 | Fax:727-265-3420
 
Primary Practice Address 3129 ALTERNATE 19
DUNEDIN, FL 34698-1503
United States

Phone: 305-988-0898 | Fax:727-265-3420
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 208200000X - Plastic Surgery FLME120247
Yes 2086S0122X - Surgery - Plastic and Reconstructive SurgeryFLME120247