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Individual

DR. BRUCE R COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
57712
MA
207T00000X
Neurological Surgery Physician
7608
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0003743
NHP
MA
01
0109258Y0MA01
ANTHEM
NH
01
05-00252
EVERCARE
MA
01
06-00015
UHC
MA
01
0888895-001
CIGNA
MA
01
11514
HPHC
MA
01
23487
FCHP
MA
05
30002081
NH
05
3023249
MA
01
4471849
AETNA
MA
01
715261
THP
MA
01
J06331
BCBSMA
MA
Enumeration date
09/26/2005
Last updated
03/04/2020
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