Individual
MARK J KOTAPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 OLD YORK ROAD, KLEIN BLDG, STE 501, PHILADELPHIA, PA 19141
(215) 456-6127
(215) 457-7602
Mailing address
101 E OLNEY AVE, 400, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
PA MD040762E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001288060
—
PA
Enumeration date
03/14/2006
Last updated
12/07/2010
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