Individual
MARK KOTLAREWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 IRVING ST NW, STE 2A-38E, WASHINGTON, DC 20010-2975
(202) 877-4677
Mailing address
110 IRVING ST NW, STE 2A-38E, WASHINGTON, DC 20010-2975
(202) 877-4677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD036355
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
Enumeration date
12/20/2006
Last updated
04/21/2011
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