Organization
LARISA KLOTS DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARISA KLOTS DO (PRESIDENT)
(732) 257-8442
Entity
Organization
Contact information
Practice address
B3 BRIER HILL CT, E BRUNSWICK, NJ 08816-3330
(732) 254-1114
(732) 254-2247
Mailing address
11 BUFFALO RUN, E BRUNSWICK, NJ 08816-4078
(732) 254-1114
(732) 254-2247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB71358
NJ
Other
Enumeration date
09/21/2006
Last updated
09/06/2013
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