Organization
COTTAGE ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L MAUCHLY (OFFICE MANAGER)
(603) 536-1565
Entity
Organization
Contact information
Practice address
15 TOWN WEST RD, PLYMOUTH, NH 03264
(603) 536-1565
(603) 536-1200
Mailing address
15 TOWN WEST RD, PLYMOUTH, NH 03264
(603) 536-1565
(603) 536-1200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0320000417
VT
207X00000X
Orthopaedic Surgery Physician
Primary
8934
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019104
—
VT
01
—
4483620001
DEMERC
—
Enumeration date
09/13/2006
Last updated
08/22/2020
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