Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA06853700 | NJ |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD027922E | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME-50745 | FL |
NPI | 1497709075 |
---|---|
Provider Name | William James Hozack |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Philadelphia, PA 19107-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 10/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0112126 | CIGNA (01) | |
0309000000 | IBC (01) | PA |
0470438 | AETNA (01) | PA |
0752670000 | IBC (01) | NJ |
2378233 | AETNA (01) | NJ |
D20897 | (02) |