Healthcare Provider Details

I. General information

NPI: 1679950539
Provider Name (Legal Business Name): TIMOTHY COTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 THOMAS DR
SILVER SPRING MD
20904-2930
US

IV. Provider business mailing address

23 THOMAS DR
SILVER SPRING MD
20904-2930
US

V. Phone/Fax

Practice location:
  • Phone: 202-738-6336
  • Fax:
Mailing address:
  • Phone: 202-738-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberD0041334
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: