Kotapka, Mark J

Kotapka, Mark J is an individual health care provider with primary practice located at 5401 Old York Road Klein Bldg, Ste 501, Philadelphia PA 19141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kotapka, Mark J can be contacted via phone (215) 456-6127.

Contact Information

Primary practice address
5401 Old York Road Klein Bldg, Ste 501 Philadelphia PA 19141
Phone: (215) 456-6127
Fax: (215) 457-7602
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X PA MD040762E Pennsylvania

Profile Details

NPI number 1679542799
LBN Legal business name Kotapka, Mark J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 7th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679542799 NPPES
Pennsylvania MEDICAID 001288060

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