Most Relevant Information
Provider Data
| NPI Number: | 1003200551 |
| Provider Name: | ELENA KOZAKEWICH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/23/2015 |
| Last Updated: | 07/09/2018 |
Provider Practice Location
111 COLCHESTER AVE
UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON
VT
05401
Practice Location Phone/Fax
| Phone: | 8028472700 |
| Fax: |
Provider Mailing Location
54 FRANCIS ST
BROOKLINE
MA
024466641
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |