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1114001856
AMY L KOSTISHACK
SAN JOSE, CA
NPI
1114001856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A79345)
Enumeration Date
2006-10-25
Last Update Date
2007-09-12
Business Address
-- AMY L KOSTISHACK MD
1993 MCKEE RD EVC PEDIATRICS CLINIC
SAN JOSE, CA 95116-1406
Phone number: 408-885-5405
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Mailing Address
-- AMY L KOSTISHACK MD
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-5000
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