Organization
GENITOURINARY SURGEONS OF NEW JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H. KOOTA M.D. (PARTNER)
(908) 685-2138
Entity
Organization
Contact information
Practice address
211 COURTYARD DR, HILLSBOROUGH, NJ 08844-4247
(908) 685-2138
Mailing address
212 MONROE AVE, BELLE MEAD, NJ 08502-4635
(908) 431-0992
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA06560100
NJ
Other
Enumeration date
02/01/2007
Last updated
04/08/2008
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