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Individual

RANDY B KOZEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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