Individual
MITCHELL N KOTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 NEW RD STE 700, LINWOOD, NJ 08221-1286
(609) 653-4343
(609) 653-2060
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA04672900
NJ
208800000X
Urology Physician
MA46729
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1872605
—
NJ
Enumeration date
07/19/2005
Last updated
03/07/2022
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