Healthcare Provider Details

I. General information

NPI: 1467544668
Provider Name (Legal Business Name): JEFFREY T COTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 MILE ROAD
WELLS ME
04090
US

IV. Provider business mailing address

PO BOX 1089
WELLS ME
04090-1089
US

V. Phone/Fax

Practice location:
  • Phone: 207-646-0676
  • Fax: 207-646-0949
Mailing address:
  • Phone: 207-646-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number015866
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: