Provider Demographics
NPI:1689609919
Name:COTET, MONICA (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:COTET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BELLE AVE
Mailing Address - Street 2:APT 201
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1321
Mailing Address - Country:US
Mailing Address - Phone:781-979-3970
Mailing Address - Fax:
Practice Address - Street 1:1 GENERAL ST
Practice Address - Street 2:LAWRENCE GENERAL
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841
Practice Address - Country:US
Practice Address - Phone:978-975-0775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA203425207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2031540Medicaid
203722881OtherUHC
97157402OtherNETWORK
459451OtherTUFTS
90166OtherFALLON
AA104230OtherHARVARD PILGRIM
1689609919OtherNHP
1689609919OtherBMC
AA104230OtherHPHC
A3631402OtherRAILROAD
P0225366OtherRAILROAD
NH30207524Medicaid
459451OtherUHC
5058224OtherCIGNA
J28014OtherBCBS
J28014OtherBCBS
MAHX3423Medicare PIN
I01194Medicare UPIN