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Individual

DR. BERNARD FRED KOZLOVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3301 LEE CT, BALTIMORE, MD 21208-4402
(410) 218-5765
Mailing address
3301 LEE CT, BALTIMORE, MD 21208-4402
(410) 218-5765

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D26473
MD
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
D26473
MD

Other

Enumeration date
07/20/2009
Last updated
07/20/2009
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