Individual
DR. JOHN RICHARD KALLOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 RIDGEWOOD LN, GETTYSBURG, PA 17325-8512
(717) 334-4501
Mailing address
15 RIDGEWOOD LN, GETTYSBURG, PA 17325-8512
(717) 334-4501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD022239E
PA
208M00000X
Hospitalist Physician
MD022239E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000797876
—
PA
05
—
316311300
—
MD
Enumeration date
07/29/2005
Last updated
02/11/2014
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