Bruce Cooper MD

NPI 1043203037 - Internal Medicine - 207R00000X

NPI Details
NPI 1043203037
Gender Male
Enumeration Date 08/25/2005
Last Updated 12/01/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
22 W MAIN ST
NIANTIC CT, 06357-2340, US
Phone (860) 739-4431
Fax (860) 739-9461
Business Location
22 W MAIN ST
NIANTIC CT, 06357-2340, US
Phone (860) 739-4431
Fax (860) 739-9461
Toxanomy
Taxonomy Code 207R00000X
License State Connecticut
License Number 24339
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According to our database, Bruce Cooper MD NPI is 1043203037, taxonomy code is 207R00000X and license number is 24339, license state is located at Connecticut. Bruce Cooper MD physically located at 22 W Main St, Niantic CT, 06357-2340. NPI Number Bruce Cooper MD has the Individual type.

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1043203037 NPI number is provided on an as is basis without warranty of any kind. 1043203037 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Cooper MD are for informational purposes only.