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Contact Information

SOPHIA KOTLIAR, MD
106 BOW ST
DEPARTMENT OF PATHOLOGY
ELKTON, MD21921-5544
 Phone: 443-674-1289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SOPHIA KOTLIAR · (Female)

NPI # 1699775395
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2005
Last updated 04/19/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • DE License # C10004615
  • PA Medicaid 0018052100002
Hospital affiliation(s)
  • BAYSHORE COMMUNITY HOSPITAL - (Acute Care)
    727 N BEERS ST
    HOLMDEL, NJ 07733
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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