Organization
HIGHLANDS MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KOZAK JR. M.D. (OWNER/PHYSICIAN)
(724) 626-0700
Entity
Organization
Contact information
Practice address
2620 MEMORIAL BLVD, CONNELLSVILLE, PA 15425-1488
(724) 626-0700
(724) 626-8700
Mailing address
506 ATHENA DR, DELMONT, PA 15626-1005
(724) 468-6869
(724) 468-6207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014902030001
—
PA
Enumeration date
06/20/2006
Last updated
08/22/2020
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