Individual
DR. MARK W COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,MBA
Contact information
Practice address
2301 S BROAD ST, SUITE 205A, PHILADELPHIA, PA 19148-3542
(215) 952-9153
(215) 952-1255
Mailing address
2301 S BROAD ST, SUITE 205A, PHILADELPHIA, PA 19148-3542
(215) 952-9153
(215) 952-1255
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA07499200
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD021440E
PA
Other
Enumeration date
09/15/2005
Last updated
12/16/2014
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