ESTEBAN JESUS KOSAK LOPEZ

PHILADELPHIA, PA
NPI1740029750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT231664)
Enumeration Date2024-05-20
Last Update Date2024-05-20
Business Address
ESTEBAN JESUS KOSAK LOPEZ MD
5401 OLD YORK RD STE 363
PHILADELPHIA, PA 19141-3045
Phone number: 215-456-8520
Mailing Address
ESTEBAN JESUS KOSAK LOPEZ MD
5401 OLD YORK RD STE 363
PHILADELPHIA, PA 19141-3045
Phone number: 215-456-8520
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