Bradley R Kozub PA-C

NPI 1295045680 - Physician Assistant - 363A00000X

NPI Details
NPI 1295045680
Gender Male
Enumeration Date 10/19/2010
Last Updated 10/19/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
MILFORD MA, 01757-3005, US
Phone (508) 458-4300
Fax (508) 458-4201
Business Location
PO BOX 415348
BOSTON MA, 02241-5348, US
Phone (800) 225-8885
Fax (508) 334-1977
Taxonomy Code 363A00000X
License State Massachusetts
License Number 4032
Remove 1295045680 NPI Number

According to our database, Bradley R Kozub PA-C NPI is 1295045680, taxonomy code is 363A00000X and license number is 4032, license state is located at Massachusetts. Bradley R Kozub PA-C physically located at 91 Water St, Milford MA, 01757-3005. NPI Number Bradley R Kozub PA-C has the Individual type.

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1295045680 NPI number is provided on an as is basis without warranty of any kind. 1295045680 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley R Kozub PA-C are for informational purposes only.