Provider Demographics
NPI:1295801082
Name:KOZIARA, FRANK J II (MD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:J
Last Name:KOZIARA
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3285 BABCOK BLVD
Mailing Address - Street 2:
Mailing Address - City:PGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2829
Mailing Address - Country:US
Mailing Address - Phone:412-318-0075
Mailing Address - Fax:412-318-0081
Practice Address - Street 1:3285 BABCOK BLVD
Practice Address - Street 2:
Practice Address - City:PGH
Practice Address - State:PA
Practice Address - Zip Code:15237-2829
Practice Address - Country:US
Practice Address - Phone:412-318-0075
Practice Address - Fax:412-318-0081
Is Sole Proprietor?:No
Enumeration Date:2006-11-26
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFK056014207RG0100X
PAMD452465207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4109224Medicaid
MIG14022Medicare UPIN