Doctor Name: | DOUGLAS S COSLETT |
NPI Number: | 1578556924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD045458L |
Business Practice Address: | 24 Main St Luzerne, PA - 187091212 |
Business Phone Number: | 5707141444 |
Business Fax Number: | |
Mailing Address: | Po Box 1388, KINGSTON |
State: | PA |
Postal Code: | 187040388 |
Phone Number: | 5707141444 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 07/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD045458L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |