Individual
BEN KASOZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
164 WEBSTER ST, MALDEN, MA 02148-4423
(339) 224-0946
Mailing address
164 WEBSTER ST, MALDEN, MA 02148-4423
(339) 224-0946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN64964
MA
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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