Provider Demographics
NPI:1235165036
Name:COTE, CHRISTIAN T (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:T
Last Name:COTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340-A HADDON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:08108
Mailing Address - Country:US
Mailing Address - Phone:856-858-1717
Mailing Address - Fax:856-858-1799
Practice Address - Street 1:340-A HADDON AVENUE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:NJ
Practice Address - Zip Code:08108
Practice Address - Country:US
Practice Address - Phone:856-858-1717
Practice Address - Fax:856-858-1799
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00584300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJV01920Medicare UPIN
NJ080900U59Medicare ID - Type UnspecifiedRENDERING PHYSICIAN ID #
NJ099260Medicare ID - Type UnspecifiedGROUP PROVIDER ID #