Boleslav Kotlyar (NPI# 1386986669, PAC ID# 2961763073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1386986669 |
| PAC ID by PECOS | 2961763073 |
| Professional Enrollment ID | I20190911000030 |
| Full Name | Boleslav Kotlyar |
| Organization Legal Name | VITREOUS RETINA MACULA SPECIALISTS OF NJ |
| Address |
306 Main St Suite 2 Millburn NJ 07041-1178 |
| Phone Number | 9734672020 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0547447153 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310009 | CLARA MAASS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 306 Main St, Suite 2, Millburn, NJ 07041-1178 | 9734672020 | VITREOUS RETINA MACULA SPECIALISTS OF NJ |
| 1543 State Route 27, Suite 12, Somerset, NJ 08873-4015 | 9734672020 | VITREOUS RETINA MACULA SPECIALISTS OF NJ |
| Organization Legal Name | VITREOUS RETINA MACULA SPECIALISTS OF NJ |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vatsal S Doshi | Ophthalmology | Vitreous Retina Macula Specialists of Nj | 306 Main St, Suite 2, Millburn, NJ 07041-1178 |
| Street Address |
306 MAIN ST SUITE 2 |
| City | MILLBURN |
| State | NJ |
| Zip | 07041-1178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martina C Peterson | Chiropractic | 306 Main St, East Jordan, MI 49727-5127 | |
| Angel D Glick | Psychologist, Clinical | 306 Main St, Logan, WV 25601-3906 | |
| Nicholas S Vachon | Podiatry | Maine Coast Regional Health Facilities | 306 Main St, Ellsworth, ME 04605-1510 |
| Mona Doshi | Internal Medicine | 306 Main St, Millburn, NJ 07041-1178 | |
| Brian F Wallace | Chiropractic | 306 Main St, Brookville, PA 15825-1222 | |
| Kasey Marie Payne | Chiropractic | 306 Main St, Suite 1, La Crescent, MN 55947-1828 | |
| Vatsal S Doshi | Ophthalmology | Vitreous Retina Macula Specialists of Nj | 306 Main St, Suite 2, Millburn, NJ 07041-1178 |
| Robert G Lusk | Optometry | 306 Main St, Canadian, TX 79014-2215 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent John Mcglone | Optometry | 249 Main St, Millburn, NJ 07041-1122 | |
| Dave Mistry | Physical Therapy | Recovery Physical Therapy, P.C. | 194 Main St, Millburn, NJ 07041-1144 |
| Joel Hirschhorn | Physical Therapy | Recovery Physical Therapy, P.C. | 194 Main St, Millburn, NJ 07041-1144 |
| Robert C Kornhaber | Psychologist, Clinical | 206 Main St, Apt 22, Millburn, NJ 07041-1161 | |
| Victoria V Blom | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
| Michael C Fox | Chiropractic | 318 Main St, Suite 101, Millburn, NJ 07041-1181 | |
| Maria A Santiago | Clinical Social Worker | 318 Main St, Suite 205, Millburn, NJ 07041-1181 | |
| John S Lo Conte | Psychologist, Clinical | 318 Main St, Suite 203a, Millburn, NJ 07041-1181 | |
| Michael S Hessdorf | Clinical Social Worker | 318 Main St, Suite 200d, Millburn, NJ 07041-1181 | |
| Mitchel B Kaiser | Chiropractic | 276 Essex St, Millburn, NJ 07041-1314 | |
| Find all physicians in zip 07041 | |||
| City | MILLBURN |
| Zip Code | 07041 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MILLBURN + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Boleslav Kotlyar.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.