MEDICARE: JOHN M COTTON MD

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	208000000X	Pediatrics Physician	25MA03430200	NJ

General Provider Information

NPI Number	:	1871679100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M COTTON MD

Provider Business Mailing Address
First Line	:	66 MT LUCAS ROAD
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-2733
Country	:	US
Telephone Number	:	609-924-4892
Fax Number	:	609-921-9380

Provider Business Practice Location Address
First Line	:	66 MT LUCAS ROAD
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-2733
Country	:	US
Telephone Number	:	609-924-4892
Fax Number	:	609-921-9380

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

Provider Enumeration Date	:	10/30/2006
Last Update Date	:	07/08/2007

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