Kotapka, Mark J
Kotapka, Mark J is an individual health care provider with primary practice located at 5401 Old York Road Klein Bldg, Ste 501, Philadelphia PA 19141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kotapka, Mark J can be contacted via phone (215) 456-6127.Contact Information
Primary practice address
5401 Old York Road Klein Bldg, Ste 501
Philadelphia PA 19141
Phone: (215) 456-6127
Fax: (215) 457-7602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | PA MD040762E | Pennsylvania |
Profile Details
| NPI number | 1679542799 |
|---|---|
| LBN Legal business name | Kotapka, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Dec 7th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679542799 | NPPES |
| Pennsylvania | MEDICAID | 001288060 |
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