Individual
DR. MICHAEL J KOZACZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
66 MAPLE AVE, MORRISTOWN, NJ 07960-5250
(973) 267-1274
Mailing address
9 AVE MARIA CT, MILLINGTON, NJ 07946-1550
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA06733500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8579504
—
NJ
Enumeration date
10/13/2006
Last updated
07/08/2007
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