Organization
ENT & FACIAL PLASTIC SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN G COOPER M.D., (PRESIDENT)
(302) 674-3752
Entity
Organization
Contact information
Practice address
826 S GOVERNORS AVE, DOVER, DE 19904-4107
(302) 674-3752
(302) 674-8521
Mailing address
826 S GOVERNORS AVE, DOVER, DE 19904-4107
(302) 674-3752
(302) 674-8521
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
C10002552
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000221602
—
DE
Enumeration date
11/16/2006
Last updated
08/08/2008
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