Paul J Kostuchenko in Winston-salem - Dermatopathology

Paul J Kostuchenko - NPI 1972591055

Paul J Kostuchenko is a Dermatopathology in Winston-salem, North Carolina. Paul J Kostuchenko practices all healthcare services and medical treatments related to Dermatopathology. The NPI Number for Paul J Kostuchenko is 1972591055. The last update date is 2009-04-02.

Paul J Kostuchenko's current location address is 1351-b Westgate Center Dr, Winston-salem, North Carolina. You can contact this provider via phone number 3367681280 and fax number 3367608444. The mailing address for Paul J Kostuchenko is 1351-b Westgate Center Dr, Winston-salem, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul J Kostuchenko
Address 1351-b Westgate Center Dr, Winston-salem, North Carolina
Phone Number 3367681280
Fax Number 3367608444
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1972591055
Provider Enumeration Date 2005-10-12
Last Updated Date 2009-04-02

Provider Mailing Address Detail

Address 1351-b Westgate Center Dr
City Winston-salem
State North Carolina (NC)
Post Code 271033041
Phone Number 3367681280
Fax Number 3367608444

Provider's Primary Taxonomy Detail

Speciality Dermatopathology
Taxonomy 207Nd0900X
Licence No 200400056
Definition:
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellul

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Q0005F SC --
89136R2 NC --

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FAQs about Paul J Kostuchenko

What is the unique identification code assigned to Paul J Kostuchenko by the Centers for Medicare & Medicaid Services?

The Paul J Kostuchenko has been issued the NPI (National Provider Identifier) 1972591055. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Paul J Kostuchenko is physically located?

The Paul J Kostuchenko is situated at the following address: 1351-B Westgate Center Dr, Winston-Salem, NC 271033041.

What is Paul J Kostuchenko's specialized field of practice, and what is the corresponding taxonomy classification code?

The Paul J Kostuchenko's area of specialization is Dermatopathology, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0900X.

On what date did the Paul J Kostuchenko receive its 1972591055 assignment from the Centers for Medicare & Medicaid Services?

The Paul J Kostuchenko was assigned its 1972591055 by the Centers for Medicare & Medicaid Services on 2005-10-12.

As of what date were the Paul J Kostuchenko's details last updated?

The information pertaining to the Paul J Kostuchenko, including its address, specialty, and other details, was most recently updated on 2009-04-02.

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