Individual
DR. ROGER COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
268 MARTIN LUTHER KING JR BLVD, ST MICHAEL INFECTIOUS DISEASE, NEWARK, NJ 07102-2011
(973) 877-2586
(973) 877-2661
Mailing address
PO BOX 36, ST MICHAEL INFECTIOUS DISEASE, ROSELAND, NJ 07068-0036
(973) 877-2586
(973) 877-2661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA35197
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2048604
—
NJ
Enumeration date
03/31/2006
Last updated
07/08/2007
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