Whalio Doctors

NPI 1225312382

Josephine Widjaja Kozloff, PAC

Practitioner Physician Assistant Christiansted, VI

Practice location

Address
6040 Castle Coakley, Christiansted, VI 00820-5343
Phone
(340) 998-2404
Fax
(340) 713-7272
Mailing address
6002 Diamond Ruby STE 3-125, Christiansted, VI 00820-5226

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 048 (VI)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA21803 (CA)

Registry record

NPI
1225312382
Entity type
Individual
Sex (as registered)
Female
NPI issued
6 Oct 2011
Record last updated
15 Mar 2023

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.