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Individual
MR. ERIC JON KOZLOW
Active
Individual
MR. ERIC JON KOZLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
9500975
NC
207R00000X
Internal Medicine Physician
9500975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202020
UNITED HEALTHCARE
—
01
—
1235298589
GROUP NPI
NC
01
—
2217701A
MEDICARE ID
NC
01
—
2217701B
MEDICARE ID
NC
01
—
50259
BCBS
NC
05
—
8950259
—
NC
Enumeration date
04/26/2006
Last updated
09/17/2021
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