Provider Demographics
NPI:1255659074
Name:MCCOTTER DESI, MARY RITA (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:RITA
Last Name:MCCOTTER DESI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-2521
Mailing Address - Fax:717-851-3535
Practice Address - Street 1:16312 MOUNT AIRY RD
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:PA
Practice Address - Zip Code:17361-1623
Practice Address - Country:US
Practice Address - Phone:717-227-3800
Practice Address - Fax:717-227-3802
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2023-05-03
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Provider Licenses
StateLicense IDTaxonomies
PAMD449160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine