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Individual

MR. JUSTIN A KOTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, RD, CDE

Contact information

Practice address
867 E LOMBARD ST, BALTIMORE, MD 21202-4510
(410) 409-6992
Mailing address
867 E LOMBARD ST, BALTIMORE, MD 21202-4510
(410) 409-6992

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
967514
MD

Other

Enumeration date
10/28/2010
Last updated
09/19/2012
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