Kosteva, John A

Kosteva, John A is an individual health care provider with primary practice located at 3400 Civic Center Boulevard 2 West, Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kosteva, John A can be contacted via phone (215) 615-5858.

Contact Information

Primary practice address
3400 Civic Center Boulevard 2 West Philadelphia PA 19104
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD426127 Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MA08581700 New Jersey

Profile Details

NPI number 1700036902
LBN Legal business name Kosteva, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated Oct 23rd, 2013 - about 12 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 1700036902 NPPES
Pennsylvania MEDICAID 102308455-0001

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