Anthony T. Kosoglov, Inc. | |
99 Northline Cir Suite 215 Euclid OH 44119-1482 | |
(216) 692-7600 | |
(216) 692-7606 |
Full Name | Anthony T. Kosoglov, Inc. |
---|---|
Speciality | Internal Medicine |
Location | 99 Northline Cir, Euclid, Ohio |
Authorized Official Name and Position | Anthony Thomas Kosoglov (PRESIDENT) |
Authorized Official Contact | 2166927600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anthony T. Kosoglov, Inc. 99 Northline Cir Suite 215 Euclid OH 44119-1482 Ph: (216) 692-7600 | Anthony T. Kosoglov, Inc. 99 Northline Cir Suite 215 Euclid OH 44119-1482 Ph: (216) 692-7600 |
NPI Number | 1861598724 |
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Provider Enumeration Date | 09/16/2006 |
Last Update Date | 02/05/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861598724 | NPI | - | NPPES |
2718563 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35057981 (Ohio) | Primary |
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