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Individual

MARYA A KOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
844 FRANKLIN ST., #4, WRENTHAM, MA 02093
(508) 384-2500
(508) 384-9410
Mailing address
844 FRANKLIN ST., #4, WRENTHAM, MA 02093
(508) 384-2500
(508) 384-9410

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
209530
MA
207RP1001X
Pulmonary Disease Physician
Primary
209530
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2014661
MA
01
J26470
BCBS BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/14/2006
Last updated
12/26/2008
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