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Individual

MR. GREGORY JOSEPH KUZMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.P.T.

Contact information

Practice address
2111 W 8TH ST, ERIE, PA 16505-4707
(814) 456-5151
(814) 878-2911
Mailing address
2111 W 8TH ST, ERIE, PA 16505-4707
(814) 456-5151
(814) 878-2911

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT008099L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01818030
PA
01
906229
HIGHMARK BC/BS PROVIDER
PA
Enumeration date
07/20/2006
Last updated
02/08/2020
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