Whalio Doctors

NPI 1003342775

Merrick Douglas Kozak, MD

Practitioner Dermatology Physician Charlottesville, VA

Practice location

Address
1221 Lee St, Charlottesville, VA 22908-5051
Phone
(434) 924-5115
Fax
(434) 244-4504
Mailing address
PO Box 9007, Charlottesville, VA 22906-9007

Registered specialties (3)

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101272020 (VA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X Licence 0116030312 (VA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1003342775
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 May 2017
Record last updated
2 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.