Provider Demographics
NPI:1346376464
Name:KOZEL, JOSEPH MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MARTIN
Last Name:KOZEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:331 GRAND ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2719
Mailing Address - Country:US
Mailing Address - Phone:201-656-3519
Mailing Address - Fax:201-656-5989
Practice Address - Street 1:331 GRAND ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-2719
Practice Address - Country:US
Practice Address - Phone:201-656-3519
Practice Address - Fax:201-656-5989
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA035812207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4847504Medicaid
E13084Medicare UPIN