1689609919 NPI number — MONICA COTET MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689609919 NPI number — MONICA COTET MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

COTET

Provider First Name:

MONICA

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1689609919

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

05/28/2008

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

50 BELLE AVE

Provider Second Line Business Mailing Address:

APT 201

Provider Business Mailing Address City Name:

MEDFORD

Provider Business Mailing Address State Name:

MA

Provider Business Mailing Address Postal Code:

02155-1321

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

781-979-3970

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

1 GENERAL ST

Provider Second Line Business Practice Location Address:

LAWRENCE GENERAL

Provider Business Practice Location Address City Name:

LAWRENCE

Provider Business Practice Location Address State Name:

MA

Provider Business Practice Location Address Postal Code:

01841

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

978-975-0775

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

07/12/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207L00000X , with the licence number:  203425 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 2031540 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
• Identifier: 203722881 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
• Identifier: 97157402 . This is a "NETWORK" identifier . This identifiers is of the category "OTHER".
• Identifier: 459451 . This is a "TUFTS" identifier . This identifiers is of the category "OTHER".
• Identifier: 90166 . This is a "FALLON" identifier . This identifiers is of the category "OTHER".
• Identifier: AA104230 . This is a "HARVARD PILGRIM" identifier . This identifiers is of the category "OTHER".
• Identifier: 1689609919 . This is a "NHP" identifier . This identifiers is of the category "OTHER".
• Identifier: 1689609919 . This is a "BMC" identifier . This identifiers is of the category "OTHER".
• Identifier: AA104230 . This is a "HPHC" identifier . This identifiers is of the category "OTHER".
• Identifier: A3631402 . This is a "RAILROAD" identifier . This identifiers is of the category "OTHER".
• Identifier: P0225366 . This is a "RAILROAD" identifier . This identifiers is of the category "OTHER".
• Identifier: 30207524 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
• Identifier: 459451 . This is a "UHC" identifier . This identifiers is of the category "OTHER".
• Identifier: 5058224 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
• Identifier: J28014 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".