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Organization

RANDY KOZEL MD

Active
Other names
Aquidneck Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY KOZEL MD (OWNER)
(401) 683-9002
Entity
Organization

Contact information

Practice address
112 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 683-9002
(401) 293-0330
Mailing address
112 CLOCK TOWER SQ, PORTSMOUTH, RI 02871-1396
(401) 683-9002
(401) 293-0330

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD07702
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10401
NEIGHBORHOOD HEALTH PLAN
RI
01
DB8163
RAILROAD MEDICARE
Enumeration date
12/06/2007
Last updated
02/05/2008
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