Individual provider · Type 1 NPI
James Michael Kozub, PA-C
Surgical Physician Assistant · Chester, PA
NPI number
1487779591
Active
Practice location
1 Medical Center Blvd
Chester, PA 19013-3902
Mailing address
PO Box 8500-6355
Philadelphia, PA 19178-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA000512L (PA) |
| Surgical Physician Assistant | 363AS0400X | C5-0000404 (DE) |
Surgical Physician Assistant: Definition to come...
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About NPI 1487779591
James Michael Kozub, PA-C's National Provider Identifier is 1487779591, issued on Mar 20, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chester, PA. The record was last updated on Oct 1, 2010.