Individual
DR. HEIDI KOZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 CHESLEY DR STE 100, MEDIA, PA 19063-1799
(610) 566-7111
(610) 891-6735
Mailing address
101 CHESLEY DR STE 100, MEDIA, PA 19063-1799
(610) 566-7111
(610) 891-6735
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C1-0008613
DE
207N00000X
Dermatology Physician
Primary
MD432113
PA
207N00000X
Dermatology Physician
MT181819
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0351610
—
NJ
05
—
102055628
—
PA
Enumeration date
05/15/2007
Last updated
01/12/2026
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