Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MA34496 | NJ |
NPI | 1013038090 |
---|---|
Provider Name | Joseph A Kozielski |
First Address | Haddon Heights, NJ 08035-1299 |
Second Address | Haddon Heights, NJ 08035-1299 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 02/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2136406 | (05) | NJ |
D97044 | (02) | NJ |