Jason A. Cooper MD

NPI 1053305102 - Family Medicine - 207Q00000X

NPI Details
NPI 1053305102
Gender Male
Enumeration Date 09/06/2005
Last Updated 10/21/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
555 HERNDON PARKWAY
STE 100
HERNDON VA, 20170-4828, US
Phone (703) 481-1505
Fax (703) 742-8793
Business Location
555 HERNDON PARKWAY
STE 100
HERNDON VA, 20170-4828, US
Phone (703) 481-1505
Fax (703) 742-8793
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101054352
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According to our database, Dr. Jason A. Cooper MD NPI is 1053305102, taxonomy code is 207Q00000X and license number is 0101054352, license state is located at Virginia. Jason A. Cooper MD physically located at 555 Herndon Parkway, Herndon VA, 20170-4828. NPI Number Jason A. Cooper MD has the Individual type.

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1053305102 NPI number is provided on an as is basis without warranty of any kind. 1053305102 is maintained by the National Plan & Provider Enumeration System. The contents of Jason A. Cooper MD are for informational purposes only.