Provider Demographics
NPI:1861449829
Name:COTTON, WAYNE H (DO)
Entity Type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:H
Last Name:COTTON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:39 NEW LONDON TPKE
Mailing Address - Street 2:SUITE 230E
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2061
Mailing Address - Country:US
Mailing Address - Phone:860-218-3229
Mailing Address - Fax:860-659-8595
Practice Address - Street 1:39 NEW LONDON TPKE
Practice Address - Street 2:SUITE 230E
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-2061
Practice Address - Country:US
Practice Address - Phone:860-218-3229
Practice Address - Fax:860-659-8595
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2013-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0004122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTG08616Medicare UPIN
CT260003903Medicare PIN