Organization
KINGDOM PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GOTAY MD (PROVIDER)
(856) 535-4100
Entity
Organization
Contact information
Practice address
1300 PRINCESS AVE, CAMDEN, NJ 08103-2911
(856) 272-3600
Mailing address
3900 CITY AVE APT W904, PHILADELPHIA, PA 19131-2969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
12/03/2024
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