Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 56008 | NJ |
NPI | 1275642373 |
---|---|
Provider Name | William F Kottler |
First Address | Millburn, NJ 07041-1607 |
Second Address | Millburn, NJ 07041-1607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H38450 | (02) | NJ |