MEDICARE: THOMAS E COTTER DO

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	11992	GA

General Provider Information

NPI Number	:	1255957148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E COTTER DO

Provider Business Mailing Address
First Line	:	PO BOX 208023
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06520-8023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 208023
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06520-8023
Country	:	US
Telephone Number	:	203-785-2339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	06/16/2025

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Directions to “ THOMAS E COTTER DO” Practice Location

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