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Organization
GENITOURINARY SURGEONS OF NEW JERSEY PA
Active
Organization
GENITOURINARY SURGEONS OF NEW JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H. KOOTA M.D. (PARTNER)
(908) 685-2138
Entity
Organization
Contact information
Practice address
211 COURTYARD DR, HILLSBOROUGH, NJ 08844-4247
(908) 685-2138
Mailing address
212 MONROE AVE, BELLE MEAD, NJ 08502-4635
(908) 431-0992
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA06560100
NJ
Other
Enumeration date
02/01/2007
Last updated
04/08/2008
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