Provider Demographics
NPI:1417181959
Name:COTE, CURTIS (PA)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:COTE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 STACEY LANE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NH
Mailing Address - Zip Code:03818
Mailing Address - Country:US
Mailing Address - Phone:603-387-5016
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC DEPT. OF NEUROSURGERY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-8752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-13
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA20304363AS0400X
NH0743363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical