Individual
NICOLE KOZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
937 SUMMIT DR, STROUDSBURG, PA 18360-6867
(570) 424-6740
Mailing address
937 SUMMIT DRIVE, STROUDSBURG, PA 18360
(570) 424-6740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003332L
PA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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