Individual
MARK SAMUEL COTTERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
SILVER STREET, CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-5867
(860) 262-5850
Mailing address
PO BOX 351 SILVER STREET, CONNECTICUT VALLEY HOSPITAL, MIDDLETOWN, CT 06457
(860) 262-5867
(860) 262-5850
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101042896
VA
2084P0800X
Psychiatry Physician
038977
CT
Other
Enumeration date
12/06/2006
Last updated
08/20/2021
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