Individual
DR. JAY COOKE EMLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
537 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(774) 202-7935
(774) 628-9702
Mailing address
649 EAST AVE, PAWTUCKET, RI 02860-6157
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00368
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/05/2018
Last updated
08/23/2021
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