# COOK & SIU PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Richard E Cook, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780852129
- **Authorized official:** RICHARD E COOK JR. M.D. (OWNER)
- **Authorized official phone:** (301) 472-9240

## Contact information

- **Practice address:** 3450 OLD WASHINGTON RD STE 103, WALDORF, MD 20602-3249
- **Practice address phone:** (301) 472-4290
- **Practice address fax:** (240) 607-3609
- **Mailing address:** PO BOX 215, BRYANTOWN, MD 20617-0215
- **Mailing address phone:** (301) 472-4290
- **Mailing address fax:** (301) 290-5287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D0063483 | MD | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 07/13/2024