Provider Demographics
NPI:1912031295
Name:KOSTER, MICHAEL PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PHILIP
Last Name:KOSTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:593 EDDY STREET
Mailing Address - Street 2:DEPT OF PEDIATRICS, DIVISION OF PEDI INF. DISEASES
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903
Mailing Address - Country:US
Mailing Address - Phone:401-444-8360
Mailing Address - Fax:401-444-5650
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:DEPT PEDIATRICS, DIV PEDI INFECTIOUS DISEASES
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-8360
Practice Address - Fax:401-444-5650
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2022-06-30
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Provider Licenses
StateLicense IDTaxonomies
RIMD12655208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics