Kotsko, Raegan Nichole
Kotsko, Raegan Nichole is an individual health care provider with primary practice located at 1600 Haddon Ave Department Of Ob Gyn, Camden NJ 08103-3101. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kotsko, Raegan Nichole can be contacted via phone (856) 757-3500.Contact Information
Primary practice address
1600 Haddon Ave Department Of Ob Gyn
Camden NJ 08103-3101
Phone: (856) 757-3500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA08291900 | New Jersey |
Profile Details
NPI number | 1356557805 |
---|---|
LBN Legal business name | Kotsko, Raegan Nichole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2007 |
Last updated | Dec 13th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356557805 | NPPES |
New Jersey | Other | 25MA08291900 | MEDICAL LICENSE |
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