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1134280795
KETAN HASHMUKH KOTHARI
PHILADELPHIA, PA
NPI
1134280795
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: PA SC004645L)
Enumeration Date
2006-12-13
Last Update Date
2010-07-04
Business Address
-- KETAN HASHMUKH KOTHARI DPM
1546 PRATT STREET
PHILADELPHIA, PA 19124-1923
Phone number: 215-533-8555
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Mailing Address
-- KETAN HASHMUKH KOTHARI DPM
1546 PRATT STREET
PHILADELPHIA, PA 19124-1923
Phone number: 215-533-8555
Copy
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