Individual
DR. MATTHEW PAUL KOZMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 E 1ST AVE, TARENTUM, PA 15084-1765
(724) 749-4118
(724) 202-0394
Mailing address
238 BEAR CREEK RD STE 510, PROSPECT, PA 16052-3204
(814) 330-5061
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS013858
PA
2084N0400X
Neurology Physician
OS20308
FL
208D00000X
General Practice Physician
OS013858
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS013858
LICENSE
PA
Enumeration date
03/13/2007
Last updated
08/15/2023
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