Individual
POONAM KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3210
Mailing address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11124800
NJ
207P00000X
Emergency Medicine Physician
MD470753
PA
Other
Enumeration date
02/02/2018
Last updated
12/28/2021
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