| Dr Prince G Kottiath, MD | |
|
Route 72, New Lisbon Developmental Center, Health Services, New Lisbon, NJ 08064 | |
| (609) 726-1000 | |
| Not Available |
| Full Name | Dr Prince G Kottiath |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | Route 72, New Lisbon, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801980008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25 MA07635200 (New Jersey) | Primary |
| 207R00000X | Internal Medicine | MD421855 (Pennsylvania) | Secondary |
| Entity Name | Mercer Bucks Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952485971 PECOS PAC ID: 9133024508 Enrollment ID: O20031201000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Prince G Kottiath, MD 714 Ford Ave, Langhorne, PA 19047 Ph: (267) 566-4543 | Dr Prince G Kottiath, MD Route 72, New Lisbon Developmental Center, Health Services, New Lisbon, NJ 08064 Ph: (609) 726-1000 |
Dr. Sangeeta Buddala, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Rt. 72 East, New Lisbon Developmental Center, New Lisbon, NJ 08064 Phone: 609-726-1000 | |
Dr. Essam El-harazy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: Nldc Route 72, New Lisbon, NJ 08064 Phone: 609-726-1000 Fax: 609-726-1387 |