Individual
CHRISTINA KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2549
(732) 294-2000
Mailing address
4 HAZELWOOD CT, HOWELL, NJ 07731-1611
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01072100
NJ
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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