Individual
DR. ELLEN COCCITTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2300 HAGGERTY RD, SUITE 2060, WEST BLOOMFIELD, MI 48323-2184
(248) 960-4245
(248) 960-7733
Mailing address
2300 HAGGERTY RD, SUITE 2060, WEST BLOOMFIELD, MI 48323-2184
(248) 960-4245
(248) 960-7733
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4357877
—
MI
Enumeration date
07/19/2006
Last updated
12/04/2015
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