Provider Demographics
NPI:1750566436
Name:COTE-MEDEIROS, JOCELYN A (MED)
Entity type:Individual
Prefix:MRS
First Name:JOCELYN
Middle Name:A
Last Name:COTE-MEDEIROS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 COUNTY ST
Mailing Address - Street 2:KENNEDY DONOVAN EIP
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-4995
Mailing Address - Country:US
Mailing Address - Phone:508-997-1570
Mailing Address - Fax:
Practice Address - Street 1:389 COUNTY ST
Practice Address - Street 2:KENNEDY DONOVAN EIP
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-4995
Practice Address - Country:US
Practice Address - Phone:508-997-1570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist