person
Ms. Lara Kothari, PA-C
Medical Physician Assistant in Nutley, New Jersey
NPI 1598707788

Lara Kothari is a Medical Physician Assistant based in Cedar Knolls, NJ and is specialized in Medical. Lara Kothari practices in Nutley, NJ and has the professional credentials of PA-C. The NPI Number for Lara Kothari is 1598707788 and holds a License No. MA052233 (New Jersey).

The current practice location address for Lara Kothari is 249 Franklin Ave, Nutley, NJ and can be reached out via phone at 973-542-1106.

Location: 249 Franklin Ave, Nutley, NJ, 07927-1542
person
Provider Profile Details
NPI Number
1598707788
Provider Name
Lara Kothari
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
249 Franklin Ave, Nutley, NJ, 07927-1542
Phone Number
973-542-1106
Fax Number
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
249 Franklin Ave
City
State
Zip
07110-2710
Phone Number
973-542-1106
Fax Number
person
Provider Business Mailing Address Details
Address
249 Franklin Ave
City
State
Zip
07110-2710
Phone Number
973-542-1106
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA052233 (Pennsylvania)
Definition
Definition to come...
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