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Individual
DR. JOHN R DE COTIIS
Active
Individual
DR. JOHN R DE COTIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00636000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001811403
IBX PPO
NJ
01
—
2646509000
AMERIHEALTH
NJ
01
—
7466688
AETNA
NJ
Enumeration date
06/14/2006
Last updated
05/18/2010
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