Individual
TIMOTHY E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 POMFRET STREET, PUTNAM, CT 06260
(860) 928-2736
(860) 928-6367
Mailing address
330 POMFRET STREET, PUTNAM, CT 06260
(860) 928-2736
(860) 928-6367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027358
CT
Other
Enumeration date
05/19/2006
Last updated
08/23/2011
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