Individual provider · Type 1 NPI

Benjamin Michael Kozak, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1487015384 Active

Practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688

Other practice locations

  • 75 Francis St, Boston, MA 02115-6110 · (617) 732-5500

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X2025-01005 (NC)
Diagnostic Radiology Physician 2085R0202X55581 (KY)
Diagnostic Radiology Physician 2085R0202X277329 (MA)
Diagnostic Radiology Physician 2085R0202XT2656 (TX)
Diagnostic Radiology Physician 2085R0202XD0091889 (MD)
Diagnostic Radiology Physician 2085R0202X35.146016 (OH)
Diagnostic Radiology Physician Primary 2085R0202XA202269 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1487015384

Benjamin Michael Kozak, MD's National Provider Identifier is 1487015384, issued on Mar 19, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Jul 1, 2025.