Individual
DR. JANE D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1625 STRAITS TPKE, SUITE #301, MIDDLEBURY, CT 06762-1836
(203) 573-7281
(203) 573-7230
Mailing address
1625 STRAITS TPKE, SUITE #301, MIDDLEBURY, CT 06762-1836
(203) 573-9512
(203) 568-2904
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
030768
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307678
—
CT
Enumeration date
02/12/2006
Last updated
10/03/2012
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