Kotalik, Frederick

Kotalik, Frederick is an individual health care provider with primary practice located at 130 South Bryn Mawr Avenue , Bryn Mawr PA 19010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kotalik, Frederick can be contacted via phone (610) 526-3583.

Contact Information

Primary practice address
130 South Bryn Mawr Avenue Bryn Mawr PA 19010
Fax: (610) 526-3614
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD044433L Pennsylvania

Profile Details

NPI number 1366416117
LBN Legal business name Kotalik, Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366416117 NPPES
Pennsylvania MEDICAID 0012667790001

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