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Individual

DR. ADVAIT KODOOR KOTHARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 273-0641
(401) 273-2919

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD21121
RI
207P00000X
Emergency Medicine Physician
MD485498
PA

Other

Enumeration date
07/23/2020
Last updated
04/29/2026
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