Provider Demographics
NPI:1700141397
Name:COTZIA, PAOLO (MD)
Entity Type:Individual
Prefix:DR
First Name:PAOLO
Middle Name:
Last Name:COTZIA
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 1:132 S 10TH ST
Mailing Address - Street 2:ROOM 275
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5244
Mailing Address - Country:US
Mailing Address - Phone:215-953-3876
Mailing Address - Fax:215-955-2519
Practice Address - Street 1:132 S 10TH ST
Practice Address - Street 2:ROOM 275
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107
Practice Address - Country:US
Practice Address - Phone:215-953-3876
Practice Address - Fax:215-955-2519
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT200858390200000X
NY293794207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program