MEDICARE: ALEXANDRIA HOPE COTTER

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	390200000X	Student in an Organized Health Care Education/Training Program		IN

General Provider Information

NPI Number	:	1558224261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA HOPE COTTER

Provider Business Mailing Address
First Line	:	108 AZALEA LN
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5262
Country	:	US
Telephone Number	:	609-453-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 AZALEA LN
Second Line	:
City	:	EGG HARBOR TOWNSHIP
State	:	NJ
Zip	:	08234-5262
Country	:	US
Telephone Number	:	609-453-7675
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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