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Individual
GLENDA J COOK
Active
Individual
GLENDA J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053135L
PA
207R00000X
Internal Medicine Physician
MD053135L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014654500008
—
PA
01
—
110237772
RAILROAD MEDICARE
PA
01
—
143903
HIGHMARK BLUE SHIELD
PA
01
—
36826 S101
GEISINGER HEALTH PLAN
PA
01
—
4505677
AETNA NON-HMO
PA
01
—
50000533
CAPITAL BLUE CROSS
PA
01
—
513684
AETNA HMIO
PA
01
—
F87562
HEALTH ASSURANCE
PA
01
—
P004427
GATEWAY HEALTH PLAN
PA
Enumeration date
01/23/2006
Last updated
01/11/2017
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