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Individual

DR. KINNARI A KOTHARI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 BRITTON PL, SUITE # 6, VOORHEES, NJ 08043-2514
(856) 772-0700
(856) 864-0310
Mailing address
1 BRITTON PL, SUITE # 6, VOORHEES, NJ 08043-2514
(856) 772-0700
(856) 864-0310

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA05442400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0445029000
INDEPENDENCE BLUE CROSS
NJ
01
050886
VALUE OPTIONS
NJ
01
202304
MANAGED HEALTH NETWORK
NJ
01
7534730
AETNA
NJ
01
P3645687
OXFORD
NJ
Enumeration date
12/04/2006
Last updated
07/08/2007
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