Individual
MITCHELL E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 S CEDAR CREST BLVD, SUITE 110, ALLENTOWN, PA 18103-6224
(610) 435-1003
(610) 435-3184
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD068162L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD068162L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017601550005
—
PA
Enumeration date
06/22/2005
Last updated
10/29/2014
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