Individual
DR. IRENE KOTOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 HIGHWAY 130 NORTH, SUITE 29B, EAST WINDSOR, NJ 08520
(609) 426-1555
(609) 443-1394
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11572900
NJ
208000000X
Pediatrics Physician
25MA11572900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2018
Last updated
09/27/2022
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