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Organization
NEONATAL RESOURCES OF WISCONSIN, INC
Active
Organization
NEONATAL RESOURCES OF WISCONSIN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIP KOTHARI MD (PRESIDENT)
(608) 251-6831
Entity
Organization
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6831
(608) 826-2710
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6831
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32814700
—
WI
Enumeration date
03/24/2006
Last updated
09/08/2021
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