Individual
THUSITHA COTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
147 ALLEN ST, RUTLAND, VT 05701-4555
(802) 775-1901
(802) 775-1974
Mailing address
160 ALLEN STREET, MEDICAL STAFF SERVICES, RUTLAND, VT 05701
(802) 747-3639
(802) 747-6207
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
018019
ME
207V00000X
Obstetrics & Gynecology Physician
49955
MN
207VX0000X
Obstetrics Physician
Primary
042-0013490
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267120000
—
MN
01
—
P00413269
RAILROAD MEDICARE
MN
Enumeration date
07/03/2007
Last updated
01/23/2017
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