Search › Massachusetts › 225X00000X
Corrie Koziol
NPI 1710415260 · on the registry since 2017
Practice
- Address
- 55 Tozer Rd
Beverly, MA 01915 - Phone
- (978) 969-2894
- Organisation at this address
- Northeast Pho, Inc
Futures Clinic, Inc.
Fbtc Transitional Sub, Llc
Fbtc Transitional Sub, Llc
Fbtc Transitional Sub, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 74
Additional practice sites
- 10p Gill St, Woburn, MA
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225XP0200X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts