REVATHI KOTLA MD PC

WEST ORANGE, NJ
NPI1609343672
Entity TypeOrganization
Authorized ContactREVATHI KOTLA
Owner
973-758-1650
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
Enumeration Date2018-10-29
Last Update Date2018-10-29
Business Address
REVATHI KOTLA MD PC
623 EAGLE ROCK AVE
WEST ORANGE, NJ 07052-2948
Phone number: 973-736-0687
Mailing Address
REVATHI KOTLA MD PC
61 JOANNA WAY
SHORT HILLS, NJ 07078-3206
Phone number: 973-758-1650
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