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Organization
MONROE MEDICAL ASSOCIATES SC PC
Active
Organization
MONROE MEDICAL ASSOCIATES SC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F KOZLOFF MD (PRESIDENT)
(708) 339-4800
Entity
Organization
Contact information
Practice address
9250 COLUMBIA AVE, SUITE D2, MUNSTER, IN 46321-3538
(219) 836-7763
Mailing address
801 MACARTHUR BLVD, SUITE 401, MUNSTER, IN 46321-2915
(219) 836-2860
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036056161
IN
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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