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NPI Code Detail

MEDICARE: DR. AMY MAXINE KOTLER M.D.

MEDICARE: DR. AMY MAXINE KOTLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMA07115300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356384234
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY MAXINE KOTLER M.D.
Provider Business Mailing Address
First Line : 7 KISSEL LN
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-3612
Country : US
Telephone Number : 973-889-1113
Fax Number :
Provider Business Practice Location Address
First Line : 369 W BLACKWELL ST
Second Line :
City : DOVER
State : NJ
Zip : 07801-2560
Country : US
Telephone Number : 973-328-8300
Fax Number : 973-328-8315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/08/2007

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