| Doctor Name: | ALICIA VAN COTT |
| NPI Number: | 1063797512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN266297 |
| Business Practice Address: | 90 Libbey Pkwy Suite 200 Weymouth, MA - 021893129 |
| Business Phone Number: | 7813359700 |
| Business Fax Number: | 7813359709 |
| Mailing Address: | 90 Libbey Pkwy, Suite 200 WEYMOUTH |
| State: | MA |
| Postal Code: | 021893129 |
| Phone Number: | 7813359700 |
| Fax Number: | 7813359709 |
| NPI Enumeration Date: | 10/17/2011 |
| NPI Last Update Date: | 09/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RN266297 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |