Organization
PAUL B COTTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BARRY COTTER MD (PRESIDENT)
(508) 586-0256
Entity
Organization
Contact information
Practice address
179 QUINCY ST, BROCKTON, MA 02302
(508) 586-0256
(508) 586-4544
Mailing address
179 QUINCY ST, BROCKTON, MA 02302
(508) 586-0256
(508) 586-4544
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
43625
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35120000
DAVIS VISION
MD
05
—
9736816
—
MA
01
—
M13897
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
08/30/2006
Last updated
11/30/2011
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