Individual
DR. DUSTIN LEE COTLIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
983 BOSTON-PROVIDENCE TURNPIKE, DEDHAM, MA 02026
(781) 819-6400
(339) 234-6921
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
273956
MA
207P00000X
Emergency Medicine Physician
322459
LA
Other
Enumeration date
04/01/2015
Last updated
11/15/2023
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