MEDICARE: COTTMAN PHYSICIAN ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician		PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DN2697	OTHER	PA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0230324	OTHER	PA	GHI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	342939001	OTHER	PA	INDEPENDENCE BLUE
5	2006864	OTHER	PA	HIGHMARK BLUE SHIELD

General Provider Information

NPI Number	:	1124200977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COTTMAN PHYSICIAN ASSOCIATES PC

Provider Business Mailing Address
First Line	:	66 W GILBERT ST
Second Line	:	2ND FLOOR
City	:	RED BANK
State	:	NJ
Zip	:	07701-4918
Country	:	US
Telephone Number	:	732-212-0051
Fax Number	:	732-212-0713

Provider Business Practice Location Address
First Line	:	333 COTTMAN AVENUE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-2497
Country	:	US
Telephone Number	:	888-369-2427
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH JOHN CALABRO
Credential	:	DO
Telephone Number	:	732-212-0060

Provider Enumeration Date	:	12/04/2007
Last Update Date	:	07/21/2022

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