Healthcare Provider Details

I. General information

NPI: 1235165036
Provider Name (Legal Business Name): CHRISTIAN T COTE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340-A HADDON AVENUE
WESTMONT NJ
08108
US

IV. Provider business mailing address

340-A HADDON AVENUE
WESTMONT NJ
08108
US

V. Phone/Fax

Practice location:
  • Phone: 856-858-1717
  • Fax: 856-858-1799
Mailing address:
  • Phone: 856-858-1717
  • Fax: 856-858-1799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00584300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: