Individual
DR. JOSEPH GUY KOTORA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL CAMP LEJEUNE, CAMP LEJEUNE, NC 28547-2538
(910) 450-4840
Mailing address
824 COMMONS DR N, JACKSONVILLE, NC 28546-8146
(732) 266-6077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2014-01514
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
2014-01514
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2006
Last updated
08/07/2014
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