Individual
DR. BENJAMIN WESLEY KOZYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIV OF CARDIAC CRITICAL CARE - 6NE40, PHILADELPHIA, PA 19104-4319
(215) 590-1190
Mailing address
100 E PENN SQ, THE WANAMAKER BLDG., 9TH FL, N., PHILADELPHIA, PA 19107-3323
(267) 425-9320
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
MD458499
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD458499
PA
Other
Enumeration date
06/13/2008
Last updated
02/15/2017
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