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NPI Code Detail

MEDICARE: MR. FREDERICK MICHAEL DILL COTA

MEDICARE:  MR. FREDERICK MICHAEL DILL  COTA
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
1224Z00000XOccupational Therapy AssistantNJ

General Provider Information

NPI Number : 1346295946
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FREDERICK MICHAEL DILL COTA
Provider Business Mailing Address
First Line : 125 MUNRO AVE
Second Line :
City : W KEANSBURG
State : NJ
Zip : 07734-3027
Country : US
Telephone Number : 732-495-4595
Fax Number :
Provider Business Practice Location Address
First Line : 125 MUNROE AVE
Second Line :
City : W KEANSBURG
State : NJ
Zip : 07734-3027
Country : US
Telephone Number : 732-495-4595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 07/26/2007

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Directions to “ MR. FREDERICK MICHAEL DILL COTA” Practice Location

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