Desiree E Kotarba, CRNA | |
51 N 39th St, Philadelphia, PA 19104 | |
(215) 662-8000 | |
Not Available |
Full Name | Desiree E Kotarba |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 51 N 39th St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013939966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN516097L (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
Desiree E Kotarba, CRNA 51 N 39th St, Philadelphia, PA 19104-2640 Ph: (215) 662-8000 | Desiree E Kotarba, CRNA 51 N 39th St, Philadelphia, PA 19104 Ph: (215) 662-8000 |
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