| Mark Edward Kozminsky, MD | |
|
2505 Green Tech Dr, Suite A1, State College, PA 16803-2316 | |
| (814) 237-6600 | |
| (814) 237-5383 |
| Full Name | Mark Edward Kozminsky |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 2505 Green Tech Dr, State College, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861482788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD033463E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Edward Kozminsky, MD 113 Wildernest Ln, Port Matilda, PA 16870-7107 Ph: (814) 237-6524 | Mark Edward Kozminsky, MD 2505 Green Tech Dr, Suite A1, State College, PA 16803-2316 Ph: (814) 237-6600 |
Timothy David Mckinley, Dermatology Medicare: Medicare Enrolled Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Cassandra Joy Simonetta, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 32 Colonnade Way, State College, PA 16803 Phone: 814-272-4445 Fax: 814-272-4450 | |
Jerry Forrest Mikesell, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1393 N Atherton St, State College, PA 16803 Phone: 814-238-6097 Fax: 814-238-5527 | |
Dr. Loretta A Pratt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 312, State College, PA 16803 Phone: 814-237-6600 Fax: 814-237-5383 | |
Mary Amanda Jacobs, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr., State College, PA 16801 Phone: 814-231-4560 Fax: 814-231-6246 | |
Dr. Matthew Allyn Hazey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 100 Scenery Dr Uppr Level, State College, PA 16801 Phone: 814-237-6600 Fax: 814-237-5383 |