Organization
NEVILLE H. KOTWAL, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEVILLE H. KOTWAL M.D. (OWNER)
(610) 882-1355
Entity
Organization
Contact information
Practice address
601 E BROAD ST, BETHLEHEM, PA 18018-6332
(610) 882-1355
(610) 882-3181
Mailing address
601 E BROAD ST, BETHLEHEM, PA 18018-6332
(610) 882-1355
(610) 882-3181
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD044889L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001271910-0011
—
PA
Enumeration date
08/21/2012
Last updated
08/21/2012
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