Individual
CHRISTINE S KOTULSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00266300
NJ
213E00000X
Podiatrist
SC005550
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188528
AMERIGROUP
NJ
01
—
2142511000
AMERIHEALTH
—
01
—
60000586
HORIZON NJ HEALTH
NJ
05
—
8816701
—
NJ
01
—
P3015106
OXFORD INSURANCE
—
Enumeration date
07/19/2006
Last updated
02/19/2014
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