Kotliar, Justin

Kotliar, Justin is an sole proprietor health care provider with primary practice located at 1 Capital Way , Pennington NJ 08534-2520. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Kotliar, Justin can be contacted via phone (800) 637-2374.

Contact Information

Primary practice address
1 Capital Way Pennington NJ 08534-2520
Phone: (800) 637-2374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25MA12259500 New Jersey

Profile Details

NPI number 1699262972
LBN Legal business name Kotliar, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2018
Last updated May 28th, 2024 - about 2 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 1699262972 NPPES
New York MEDICAID 13-3971298

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