Provider Demographics
NPI:1508340597
Name:TOMASZ KOSOWSKI MD PA
Entity Type:Organization
Organization Name:TOMASZ KOSOWSKI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER BILLING/IT
Authorized Official - Prefix:
Authorized Official - First Name:MANISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-657-1370
Mailing Address - Street 1:511 SEAVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-2267
Mailing Address - Country:US
Mailing Address - Phone:305-988-0898
Mailing Address - Fax:727-265-3420
Practice Address - Street 1:3129 ALTERNATE 19
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-1503
Practice Address - Country:US
Practice Address - Phone:727-269-5618
Practice Address - Fax:727-265-3420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty