Provider Demographics
NPI:1487948998
Name:COTTRILL, ELIZABETH ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ELLEN
Last Name:COTTRILL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:925 CHESTNUT STREET
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4204
Mailing Address - Country:US
Mailing Address - Phone:215-955-6760
Mailing Address - Fax:215-923-4532
Practice Address - Street 1:925 CHESTNUT STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:PHILADELHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4204
Practice Address - Country:US
Practice Address - Phone:215-955-6760
Practice Address - Fax:215-923-4532
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMT199970207Y00000X
PAMD452847207Y00000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology