BENJAMIN MICHAEL KOZAK

BOSTON, MA
NPI1487015384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  277329)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: NC  2025-01005)
2085R0202X Radiology, Diagnostic Radiology
(Licence: CT  68186)
2085R0202X Radiology, Diagnostic Radiology
(Licence: KY  55581)
Enumeration Date2016-03-19
Last Update Date2025-04-17
Business Address
BENJAMIN MICHAEL KOZAK MD
55 FRUIT ST
BOSTON, MA 02114-2621
Phone number: 617-643-3726
Mailing Address
BENJAMIN MICHAEL KOZAK MD
2825 OAK LAWN AVE UNIT 192749
DALLAS, TX 75219-4688
Phone number: 510-683-9500