Individual
NISHA SURESH KOTECHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1 SPRINGFIELD AVE, SUMMIT, NJ 07901-4055
(908) 934-0555
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA09765100
NJ
207RP1001X
Pulmonary Disease Physician
25MA09765100
NJ
Other
Enumeration date
05/24/2012
Last updated
05/10/2016
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