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Individual

DR. HARRY PW KOZAKEWICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-7431
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
40037
MA
207ZP0101X
Anatomic Pathology Physician
40037
MA
207ZP0213X
Pediatric Pathology Physician
40037
MA

Other

Enumeration date
08/06/2006
Last updated
08/20/2007
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