Larisa Klots DO

NPI 1053361550 - Family Medicine - 207Q00000X

NPI Details
NPI 1053361550
Gender Female
Enumeration Date 05/12/2006
Last Updated 09/24/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
B3 BRIER HILL CT
EAST BRUNSWICK NJ, 08816-3330, US
Phone (732) 254-1114
Fax (732) 254-2247
Business Location
11 BUFFALO RUN
EAST BRUNSWICK NJ, 08816-4078, US
Phone (732) 254-1114
Fax (732) 254-2247
Toxanomy
Taxonomy Code 207Q00000X
License State New Jersey
License Number MB71358
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According to our database, Dr. Larisa Klots DO NPI is 1053361550, taxonomy code is 207Q00000X and license number is MB71358, license state is located at New Jersey. Larisa Klots DO physically located at B3 Brier Hill Ct, East Brunswick NJ, 08816-3330. NPI Number Larisa Klots DO has the Individual type.

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1053361550 NPI number is provided on an as is basis without warranty of any kind. 1053361550 is maintained by the National Plan & Provider Enumeration System. The contents of Larisa Klots DO are for informational purposes only.