Kozak, Mark

Kozak, Mark is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kozak, Mark can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Phone: (800) 243-1455
Fax: (717) 531-4077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD050372L Pennsylvania
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD050372L Pennsylvania

Profile Details

NPI number 1477501146
LBN Legal business name Kozak, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 6th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477501146 NPPES
Pennsylvania MEDICAID 0014556500001

Popular Providers