Whalio Doctors

NPI 1013469071

Philip J Cotter

Practitioner Optician Revere, MA

Practice location

Address
80 Broadway, Revere, MA 02151-5305
Phone
(781) 289-7929

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 3044 (MA)

Registry record

NPI
1013469071
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Oct 2016
Record last updated
26 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.