Individual
RONALD L KOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WALNUT ST FL SQUARE9, PHILADELPHIA, PA 19107-5176
(215) 829-5027
(215) 829-6391
Mailing address
800 WALNUT ST FL SQUARE9, PHILADELPHIA, PA 19107-5176
(215) 829-5027
(215) 829-6391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD029215E
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD029215E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010738430001
—
PA
Enumeration date
05/04/2006
Last updated
09/16/2019
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