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Individual

COOPER DANIEL CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(817) 732-5500
(804) 628-2015
Mailing address
75 FRANCIS STREET, BOSTON, MA 02115
(817) 732-5500
(804) 628-2015

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76003
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
0116031398
VA

Other

Enumeration date
04/05/2017
Last updated
08/16/2022
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