Individual
MR. JAMES MICHAEL KOZUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
C5-0000404
DE
363AS0400X
Surgical Physician Assistant
Primary
MA000512L
PA
Other
Enumeration date
03/20/2007
Last updated
10/01/2010
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