Basic Information
| Provider Information | |||||||||
| NPI: | 1487948998 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COTTRILL | ||||||||
| FirstName: | ELIZABETH | ||||||||
| MiddleName: | ELLEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 925 CHESTNUT STREET | ||||||||
| Address2: | 6TH FLOOR | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159556760 | ||||||||
| FaxNumber: | 2159234532 | ||||||||
| Practice Location | |||||||||
| Address1: | 925 CHESTNUT STREET | ||||||||
| Address2: | 6TH FLOOR | ||||||||
| City: | PHILADELHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191074204 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159556760 | ||||||||
| FaxNumber: | 2159234532 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2011 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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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 | 207Y00000X | MT199970 | PA | N | Allopathic & Osteopathic Physicians | Otolaryngology | 207Y00000X | MD452847 | PA | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.