Individual
AMALIA KOTLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 AVERY PL, WESTPORT, CT 06880-3223
(203) 227-5125
Mailing address
12 AVERY PL, WESTPORT, CT 06880-3223
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
73458
CT
Other
Enumeration date
04/16/2019
Last updated
07/20/2023
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