Provider Demographics
NPI:1053809350
Name:KOTZEN, MOLLIE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MOLLIE
Middle Name:
Last Name:KOTZEN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 N DUKE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-5936
Mailing Address - Country:US
Mailing Address - Phone:919-220-5345
Mailing Address - Fax:
Practice Address - Street 1:2609 N DUKE ST STE 204
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-5936
Practice Address - Country:US
Practice Address - Phone:919-220-5345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC202201537207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology