MEDICARE: DR. JOHN F. COCO M.D.

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	207W00000X	Ophthalmology Physician	0420007349	VT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	180014852	OTHER	VT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801851092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F. COCO M.D.

Provider Business Mailing Address
First Line	:	71 ALLEN ST
Second Line	:	SUITE 202
City	:	RUTLAND
State	:	VT
Zip	:	05701-4570
Country	:	US
Telephone Number	:	802-773-8328
Fax Number	:	802-773-5673

Provider Business Practice Location Address
First Line	:	71 ALLEN ST
Second Line	:	SUITE 202
City	:	RUTLAND
State	:	VT
Zip	:	05701-4570
Country	:	US
Telephone Number	:	802-773-8328
Fax Number	:

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

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	02/03/2010

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Directions to “ DR. JOHN F. COCO M.D.” Practice Location

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