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1861482788
MARK EDWARD KOZMINSKY
STATE COLLEGE, PA
NPI
1861482788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: PA MD033463E)
Enumeration Date
2005-10-22
Last Update Date
2013-12-03
Business Address
-- MARK EDWARD KOZMINSKY M.D.
2505 GREEN TECH DR SUITE A1
STATE COLLEGE, PA 16803-2316
Phone number: 814-237-6600
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Mailing Address
-- MARK EDWARD KOZMINSKY M.D.
113 WILDERNEST LN
PORT MATILDA, PA 16870-7107
Phone number: 814-237-6524
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