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Organization
JAMES COTICCHIA, M.D., P.C.
Active
Organization
JAMES COTICCHIA, M.D., P.C.
Active
Other names
Pediatric ENT Clinic of Michigan
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES COTICCHIA (PRESIDENT)
(248) 652-2240
Entity
Organization
Contact information
Practice address
18181 OAKWOOD BLVD STE 202, DEARBORN, MI 48124-4082
(248) 652-2240
(248) 659-1861
Mailing address
18181 OAKWOOD BLVD STE 202, DEARBORN, MI 48124-4082
(248) 652-2240
(248) 659-1861
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301082703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11043425001
—
MI
Enumeration date
08/14/2014
Last updated
05/29/2015
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