Kozaczek, Michael J

Kozaczek, Michael J is an individual health care provider with primary practice located at 66 Maple Ave , Morristown NJ 07960-5250. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Kozaczek, Michael J can be contacted via phone (973) 267-1274.

Contact Information

Primary practice address
66 Maple Ave Morristown NJ 07960-5250
Phone: (973) 267-1274
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 25MA06733500 New Jersey

Profile Details

NPI number 1598855470
LBN Legal business name Kozaczek, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598855470 NPPES
New Jersey MEDICAID 8579504

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