Basic Information
| Provider Information | |||||||||
| NPI: | 1215034848 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COTTO | ||||||||
| FirstName: | MARITZA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MISS | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 FEDERAL ST # 200 | ||||||||
| Address2: | |||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031088 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563564924 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 COOPER PLZ | ||||||||
| Address2: | 3 DORRANCE | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422604 | ||||||||
| FaxNumber: | 8569688282 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2006 | ||||||||
| LastUpdateDate: | 06/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 179852-1 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | MD425690 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | MA069172 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0100065106 | 01 | AMERICHOICE | OTHER | 24596 | 01 | UNIVERSITY HEALTHPLAN | OTHER | 010006516 | 01 | AMERICHOICE | OTHER | 60011669 | 01 | HORIZON NJ HEALTH | OTHER | 912205 | 01 | UNITED HEALTHCARE | OTHER | P3402241 | 01 | OXFORD | OTHER | 3627167 | 01 | AETNA | OTHER | 3K5954 | 01 | HEALTHNET | OTHER | 0459579000 | 01 | AMERIHEALTH, KEYSTONE, IBC | OTHER | 2215576 | 01 | CIGNA | OTHER | 7969406 | 05 | NJ | MEDICAID |