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Bruce Cooper MD NPI 1043203037

Classification
Internal Medicine
Type
License No.
24339
License State
CT
Certified
Location

Additional Identifiers

Medical School
No
Graduation Year
0
Identifier
Type
State
Identifier: 110001116
Type: MEDICARE PIN (08)
State: CT
Identifier: 030023
Type: OTHER (01)
State: CT
Identifier: 110006583
Type: MEDICARE PIN (08)
State: CT
Identifier: B39473
Type: MEDICARE UPIN (02)
State: CT
Identifier: 1243393
Type: MEDICAID (05)
State: CT
Identifier: 010024339CT01
Type: OTHER (01)
State: CT

Hospital & Clinics

Business Name
Company Size
Revenue
Business Address
22 W MAIN ST, NIANTIC, CT, 63572
Business Phone
860-739-4431
Mailing Address
22 W MAIN ST, NIANTIC, CT, 63572340
Mailing Phone
860-739-4431
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