Kossow, Jeffrey Harris

Kossow, Jeffrey Harris is an sole proprietor health care provider with primary practice located at 414 Fireside Ln , Cherry Hill NJ 08003-3418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kossow, Jeffrey Harris can be contacted via phone (856) 429-0458.

Contact Information

Primary practice address
414 Fireside Ln Cherry Hill NJ 08003-3418
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA03057400 New Jersey

Profile Details

NPI number 1144276023
LBN Legal business name Kossow, Jeffrey Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2006
Last updated Nov 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144276023 NPPES
New Jersey MEDICAID 7196202

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