Individual
ANIL G KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BRACE RD STE C1, CHERRY HILL, NJ 08034-2600
(856) 547-0389
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03518400
NJ
207RC0000X
Cardiovascular Disease Physician
MD053322L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0897809
—
NJ
Enumeration date
08/18/2005
Last updated
08/09/2022
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