Individual
RICHARD T KOZAKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 VILLAGE DR, GREENSBURG, PA 15601-3707
(724) 836-7590
(724) 836-7570
Mailing address
120 VILLAGE DR, GREENSBURG, PA 15601-3707
(724) 836-7590
(724) 836-7570
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD060641L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01643678
—
PA
Enumeration date
06/21/2006
Last updated
07/15/2022
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