Provider Demographics
NPI:1043369234
Name:KOST, HAROLD S (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:S
Last Name:KOST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:30 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTON
Mailing Address - State:MA
Mailing Address - Zip Code:01746-1306
Mailing Address - Country:US
Mailing Address - Phone:508-429-6504
Mailing Address - Fax:507-429-7745
Practice Address - Street 1:30 CONCORD ST
Practice Address - Street 2:
Practice Address - City:HOLLISTON
Practice Address - State:MA
Practice Address - Zip Code:01746-1306
Practice Address - Country:US
Practice Address - Phone:508-429-6504
Practice Address - Fax:507-429-7745
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2012-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA28327207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B87092Medicare UPIN