Josephine Widjaja Kozloff, PA-C

NPI #1225312382 in Christiansted, Virgin Islands

Provider Information

NPI Number: 1225312382
Entity Type: Individual
Name: Josephine Widjaja Kozloff, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 6, 2011
Last Updated: Mar 15, 2023

Practice Location

Address: 6040 CASTLE COAKLEY
City: Christiansted
State: Virgin Islands
ZIP Code: 00820-5343
Phone: (340) 998-2404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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