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Individual

DR. JOHN GAVIN COTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
69 ALLEN ST STE 8, RUTLAND, VT 05701-4564
(802) 772-7169
(802) 772-7215
Mailing address
342 STONE HOLW, MENDON, VT 05701-6770
(802) 772-7169
(802) 772-7353

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49954
MN
207RI0200X
Infectious Disease Physician
Primary
01089181A
IN
207RI0200X
Infectious Disease Physician
017996
ME
207RI0200X
Infectious Disease Physician
036129082
IL
207RI0200X
Infectious Disease Physician
042.0013442
VT
207RI0200X
Infectious Disease Physician
12195
NH
207RI0200X
Infectious Disease Physician
49954
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027359
VT
01
Y400307540
MEDICARE
VT
Enumeration date
09/25/2006
Last updated
09/08/2025
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