Individual
MARK EDWARD KOZMINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1618 KENDRA ST, CHARLOTTESVILLE, VA 22903-7955
(814) 574-5131
Mailing address
1618 KENDRA ST, CHARLOTTESVILLE, VA 22903-7955
(814) 574-5131
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD033463E
PA
Other
Enumeration date
10/22/2005
Last updated
01/29/2025
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