| Peter W Kozicky, MD | |
|
50 Moisey Drive, Suite 202, Hazleton, PA 18202-9297 | |
| (570) 501-6730 | |
| (570) 501-3837 |
| Full Name | Peter W Kozicky |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 50 Moisey Drive, Hazleton, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619975992 | NPI | - | NPPES |
| 0006446160003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD020512E (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Peter W Kozicky, MD Po Box 1347, Kingston, PA 18704-0347 Ph: (570) 288-8881 | Peter W Kozicky, MD 50 Moisey Drive, Suite 202, Hazleton, PA 18202-9297 Ph: (570) 501-6730 |
Isaac Michael Porter, PA-C Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 26 Station Cir, Hazleton, PA 18202 Phone: 610-861-8080 | |
Dr. Frank Charles Polidora, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1710 East Broad St, Hazleton, PA 18201 Phone: 570-455-3270 Fax: 570-454-9603 |