31D2211706 CLIA NUMBER - WILLIAM KOTTLER, MD

Laboratory Demographics

CLIA Number: 31D2211706

Facility Name: WILLIAM KOTTLER, MD

Facility Address:
48 ESSEX ST
MILLBURN, NJ
ZIP 07041
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Facility Phone Number: 973 218-0900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275642373

Taxonomy: 2080P0214X - Pediatrics
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.

CLIA Record

Field Name	Field Value
CLIA Number	31D2211706
LAB Type	Physician Office
Facility Name	WILLIAM KOTTLER, MD
Street	48 ESSEX ST
City	MILLBURN
State	NJ
ZIP	07041
Phone	973 218-0900
CertificateType	4
CertificateEffectiveDate	1/29/2023
CertificateExpirationDate	1/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024