Individual
NEIL KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 BERGEN ST, H-251, NEWARK, NJ 07103-2496
(973) 972-5672
(973) 972-0365
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07798700
NJ
Other
Enumeration date
07/05/2006
Last updated
02/03/2022
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