Provider Demographics
NPI:1467544668
Name:COTE, JEFFREY T (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:T
Last Name:COTE
Suffix:
Gender:M
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:PO BOX 1089
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-1089
Mailing Address - Country:US
Mailing Address - Phone:207-646-0676
Mailing Address - Fax:
Practice Address - Street 1:59 MILE ROAD
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090
Practice Address - Country:US
Practice Address - Phone:207-646-0676
Practice Address - Fax:207-646-0949
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015866207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME041605OtherANTHEM
ME1174615371OtherGROUP NPI
MEMM9626OtherMEDICARE GROUP#
MEMM9412Medicare PIN
MEH61917Medicare UPIN