| Neville H. Kotwal, Md, Llc | |
|
601 E Broad St Bethlehem PA 18018-6332 | |
| (610) 882-1355 | |
| (610) 882-3181 |
| Full Name | Neville H. Kotwal, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 601 E Broad St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Neville H. Kotwal (OWNER) |
| Authorized Official Contact | 6108821355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neville H. Kotwal, Md, Llc 601 E Broad St Bethlehem PA 18018-6332 Ph: (610) 882-1355 | Neville H. Kotwal, Md, Llc 601 E Broad St Bethlehem PA 18018-6332 Ph: (610) 882-1355 |
| NPI Number | 1659629780 |
|---|---|
| Provider Enumeration Date | 08/21/2012 |
| Last Update Date | 08/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659629780 | NPI | - | NPPES |
| 001271910-0011 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD044889L (Pennsylvania) | Primary |
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