Kotler, Stuart Mark

Kotler, Stuart Mark is an sole proprietor health care provider with primary practice located at 264 Amboy Ave University Radiology Group Pc, Metuchen NJ 08840-2441. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kotler, Stuart Mark can be contacted via phone (732) 548-2322.

Contact Information

Primary practice address
264 Amboy Ave University Radiology Group Pc Metuchen NJ 08840-2441
Phone: (732) 548-2322
Fax: (732) 548-3392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA02697300 New Jersey

Profile Details

NPI number 1992787626
LBN Legal business name Kotler, Stuart Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Jan 4th, 2011 - about 12 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 1992787626 NPPES
New York MEDICAID 00436553
New York MEDICAID 1812807

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