Individual
RANDY B KOZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 CLOCK TOWER SQUARE, PORTSMOUTH, RI 02871-1365
(401) 683-9002
(401) 293-0330
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD07702
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000026648
BLUE SHIELD
RI
01
—
007702
TUFTS HEALTH PLAN
—
01
—
1208
NEIGHBORHOOD HEALTH PLAN
RI
01
—
3396039
AETNA US HEALTHCARE
—
01
—
9227027
CIGNA HEALTHCARE
—
01
—
AA92335
HARVARD PILGRIM
—
01
—
P00130048
RAILROAD MEDICARE
—
05
—
RK51170
—
RI
Enumeration date
07/22/2005
Last updated
03/19/2013
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