Individual
BENJAMIN P COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
133 FAIRFIELD ST, ST ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-1057
Mailing address
133 FAIRFIELD ST, ST ALBANS, VT 05478-1726
(802) 524-5911
(802) 524-1057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030525
VT
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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