Individual
MELISSA KOTOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 TERENCE DR, MANALAPAN, NJ 07726-3437
(718) 344-3719
Mailing address
21 TERENCE DR, MANALAPAN, NJ 07726-3437
(718) 344-3719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
349387
NY
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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