Provider Demographics
NPI:1275569394
Name:KOSLOWSKI, CHRISTINE M (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:KOSLOWSKI
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1838 GREENE TREE ROAD
Mailing Address - Street 2:SUITE 150- LL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-602-9262
Mailing Address - Fax:410-602-9276
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:SUITE 500
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-366-5600
Practice Address - Fax:410-889-4952
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2010-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDR082824363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
S83086Medicare UPIN