Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BOLESLAV KOTLYAR, MD
ActiveDR. BOLESLAV KOTLYAR, MD is a Sports Medicine (Emergency) healthcare provider located in MILLBURN, New Jersey. NPI 1386986669 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · MILLBURN, NJ
Registration Details
- NPI Number
- 1386986669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2013 (13.381694345804 yrs)
- Last Updated
- Aug 16, 2019
- Licenses
-
036.143658 (IL)286387 (NY)25MA10677700 (NJ)
Practice Information
- Address
-
306 MAIN ST STE 2MILLBURN, NJ, 070411178Browse NJ providers · Browse ZIP 07041
- Phone
- 9734672020
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Sports Medicine (Emergency)
Other Sports Medicine (Emergency) Providers in MILLBURN, NJ
| Name | Credential | NPI |
|---|---|---|
| VATSAL DOSHI | M.D. | 1831394899 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.