| NPI | 1164542957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRIT K KOTHARI Md President Kirit K Kothari Md Pc 570-992-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine (Licence: PA MD058095L) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-07 |