DAVID KOTLER

FARMINGTON, CT
NPI1922006014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  000030)
Enumeration Date2005-07-12
Last Update Date2022-09-29
Business Address
-- DAVID KOTLER PA
263 FARMINGTON AVE NEUROSURGERY
FARMINGTON, CT 06030-0001
Phone number: 860-679-4719
Mailing Address
-- DAVID KOTLER PA
263 FARMINGTON AVE PROVIDER ENROLLMENT OFFICE
FARMINGTON, CT 06030-2212
Phone number: 860-679-7503
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