Individual
DR. JOSEPH WAYNE KOZACHEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
441 GURLEYVILLE RD, STORRS, CT 06268-1415
(860) 429-6245
Mailing address
441 GURLEYVILLE RD, STORRS, CT 06268-1415
(860) 429-6245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024719
CT
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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