MEDICARE: DANIEL COLE GOTT DO

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	207Q00000X	Family Medicine Physician	1682	ME

General Provider Information

NPI Number	:	1508806373
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL COLE GOTT DO

Provider Business Mailing Address
First Line	:	43 WHITING HILL RD
Second Line	:	SUITE 300
City	:	BREWER
State	:	ME
Zip	:	04412-1005
Country	:	US
Telephone Number	:	207-973-5035
Fax Number	:	207-973-5042

Provider Business Practice Location Address
First Line	:	7 MAIN RD N
Second Line	:
City	:	HAMPDEN
State	:	ME
Zip	:	04444-1334
Country	:	US
Telephone Number	:	207-862-9400
Fax Number	:	207-862-9411

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	02/21/2014

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Directions to “ DANIEL COLE GOTT DO” Practice Location

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