Provider Demographics
NPI:1215034848
Name:COTTO, MARITZA (MD)
Entity Type:Individual
Prefix:MISS
First Name:MARITZA
Middle Name:
Last Name:COTTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 200
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:3 DORRANCE
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2604
Practice Address - Fax:856-968-8282
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY179852-1207RC0000X
PAMD425690207RC0000X
NJMA069172207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
0100065106OtherAMERICHOICE
24596OtherUNIVERSITY HEALTHPLAN
010006516OtherAMERICHOICE
60011669OtherHORIZON NJ HEALTH
912205OtherUNITED HEALTHCARE
P3402241OtherOXFORD
3627167OtherAETNA
3K5954OtherHEALTHNET
0459579000OtherAMERIHEALTH, KEYSTONE, IBC
2215576OtherCIGNA
NJ7969406Medicaid
3K5954OtherHEALTHNET
2215576OtherCIGNA