MEDICARE: PETER F COTTONE PA

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	363A00000X	Physician Assistant	25MP00029900	NJ

General Provider Information

NPI Number	:	1639111537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER F COTTONE PA

Provider Business Mailing Address
First Line	:	PO BOX 159
Second Line	:
City	:	BARRINGTON
State	:	NJ
Zip	:	08007-0159
Country	:	US
Telephone Number	:	973-267-2293
Fax Number	:	973-267-3144

Provider Business Practice Location Address
First Line	:	1000 CRAWFORD PL STE 240
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-3965
Country	:	US
Telephone Number	:	889-828-5948
Fax Number	:

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

Provider Enumeration Date	:	06/12/2006
Last Update Date	:	08/13/2024

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Directions to “ PETER F COTTONE PA” Practice Location

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