Individual
BROOKE HOTALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932
(973) 404-9960
(973) 267-0024
Mailing address
1220 NEW SCOTLAND RD, SUITE 204, SLINGERLANDS, NY 12159-9386
(518) 439-4326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
018034
NY
363A00000X
Physician Assistant
Primary
25MP00484900
NJ
Other
Enumeration date
09/24/2014
Last updated
08/29/2018
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