Provider Demographics
NPI:1982928511
Name:KOZYCKI, CHRISTINA TORRES (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:TORRES
Last Name:KOZYCKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DRIVE
Mailing Address - Street 2:BUILDING 10, ROOM B3-4156
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1852
Mailing Address - Country:US
Mailing Address - Phone:706-333-4049
Mailing Address - Fax:301-480-5108
Practice Address - Street 1:10 CENTER DRIVE
Practice Address - Street 2:BUILDING 10
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1852
Practice Address - Country:US
Practice Address - Phone:706-333-4049
Practice Address - Fax:301-480-5108
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD046197208000000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208000000XAllopathic & Osteopathic PhysiciansPediatrics