Provider Demographics
NPI:1629065800
Name:COTO, PEDRO J (MDMPH)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:J
Last Name:COTO
Suffix:
Gender:M
Credentials:MDMPH
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Mailing Address - Street 1:1133 PLEASANT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2644
Mailing Address - Country:US
Mailing Address - Phone:410-788-4825
Mailing Address - Fax:410-724-3079
Practice Address - Street 1:8450 DORSEY RUN RD
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794-9486
Practice Address - Country:US
Practice Address - Phone:410-724-3082
Practice Address - Fax:410-724-3079
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0016176173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine