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NPI Code Detail

MEDICARE: CLAUDIA KOZIOL

MEDICARE: CLAUDIA KOZIOL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA00177600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140QA00177600OTHERNJLICENSE #

General Provider Information

NPI Number : 1992815609
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDIA KOZIOL
Provider Business Mailing Address
First Line : 208 BUTTERNUT DR
Second Line :
City : WAYNE
State : NJ
Zip : 07470-4954
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 440 OLD HOOK RD
Second Line :
City : EMERSON
State : NJ
Zip : 07630-2302
Country : US
Telephone Number : 201-265-0500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ CLAUDIA KOZIOL ” Practice Location

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