Organization
JOHN COOKE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN RICHARD COOKE M.D. (OWNER/DIRECTOR)
(973) 768-1005
Entity
Organization
Contact information
Practice address
516 BLOOMFIELD AVE, SUITE 4, MONTCLAIR, NJ 07042-3429
(973) 509-1500
(973) 509-1919
Mailing address
34 SAINT LUKES PL, MONTCLAIR, NJ 07042-2139
(973) 768-1005
(973) 509-1919
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07095800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8256004
—
NJ
Enumeration date
01/02/2014
Last updated
03/07/2023
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