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Individual

MR. NAYAN KOTHARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 937-6008
(732) 745-1339
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 745-2980

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA25603
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110178687
RAILROAD MEDICARE
NJ
05
4824903
NJ
Enumeration date
05/20/2006
Last updated
03/21/2012
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