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1598707788
LARA KOTHARI
NUTLEY, NJ
NPI
1598707788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA052233)
Enumeration Date
2006-06-12
Last Update Date
2007-07-08
Business Address
Ms. LARA KOTHARI PA-C
249 FRANKLIN AVE
NUTLEY, NJ 07110-2710
Phone number: 973-542-1106
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Mailing Address
Ms. LARA KOTHARI PA-C
91 POPLAR DR
CEDAR KNOLLS, NJ 07927-1542
Phone number: 973-216-2348
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