Individual
DR. DAN A DE COTIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2380
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10425000
NJ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA10425000
NJ
2085R0204X
Vascular & Interventional Radiology Physician
MD457710
PA
Other
Enumeration date
03/29/2010
Last updated
05/13/2019
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