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NPI Code Detail

MEDICARE: WILLIAM KOBZA

MEDICARE: WILLIAM KOBZA
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
1156FX1800XOptician310633DE
2156FX1800XOptician

General Provider Information

NPI Number : 1629492376
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM KOBZA
Provider Business Mailing Address
First Line : 104 BROADKILL RD
Second Line :
City : MILTON
State : DE
Zip : 19968-1008
Country : US
Telephone Number : 302-684-5700
Fax Number : 302-684-5702
Provider Business Practice Location Address
First Line : 104 BROADKILL RD
Second Line :
City : MILTON
State : DE
Zip : 19968-1008
Country : US
Telephone Number : 302-684-5700
Fax Number : 302-684-5702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 02/14/2014

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Directions to “ WILLIAM KOBZA ” Practice Location

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