Organization
WESLEY P KOZINN MD PC
Active
Other names
Valley Infectious Disease Spec LTD
Organization subpart
No
Provider details
NPI number
Authorized official
INGRID LEEPER (OFFICE MANAGER)
(610) 253-7818
Entity
Organization
Contact information
Practice address
2061 FAIRVIEW AVE, EASTON, PA 18042-3953
(610) 253-7818
(610) 253-1764
Mailing address
2061 FAIRVIEW AVE, EASTON, PA 18042-3953
(610) 253-7818
(610) 253-1764
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD020649E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006057700009
—
PA
01
—
469374
AETNA
PA
Enumeration date
06/10/2006
Last updated
03/29/2013
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