Individual
FREDERICK HAROLD KOZLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601-2872
(540) 662-6135
(540) 662-5845
Mailing address
190 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601-2872
(540) 662-6135
(540) 662-5845
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053628
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000961320
WV BLUE SHIELD
—
05
—
005809436
—
VA
05
—
0080509000
—
WV
01
—
00875693
WV BLUE SHIELD GROUP
—
01
—
08349100000
QUAL CHOICE PROFESSIONAL
—
01
—
2119639
MAMSI PROFESSIONAL
—
01
—
222408
ANTHEM PROFESSIONAL
—
01
—
3810003817
WV MEDICAID GROUP
WV
01
—
43938
SENTARA PROFESSIONAL
—
01
—
C00085
VA MEDICARE B GROUP
—
Enumeration date
04/08/2006
Last updated
03/03/2021
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