Provider Demographics
NPI:1033448543
Name:KOSKY, JASON ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:ROBERT
Last Name:KOSKY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION OFFICE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-225-3847
Mailing Address - Fax:915-569-1233
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION OFFICE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-225-3847
Practice Address - Fax:915-569-1233
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2016-11-01
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Provider Licenses
StateLicense IDTaxonomies
IN01067216A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery