Individual
PHILIP J COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 BROADWAY, REVERE, MA 02151-5305
(781) 289-7929
Mailing address
80 BROADWAY, REVERE, MA 02151-5305
(781) 289-7929
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3044
MA
Other
Enumeration date
10/25/2016
Last updated
10/26/2016
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