Organization
BENJAMIN COOPER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN COOPER M.D. (PHYSICIAN)
(302) 652-3331
Entity
Organization
Contact information
Practice address
4745 OGLETOWN STANTON RD, MAP 1 SUITE 137, NEWARK, DE 19713-2067
(302) 652-3331
Mailing address
4745 OGLETOWN STANTON RD, MAP 1 SUITE 137, NEWARK, DE 19713-2067
(302) 652-3331
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C10006632
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000014329
—
DE
01
—
DD5286
PALMETTO GBA
DE
01
—
P00233733
PALMETTO GBA
DE
Enumeration date
10/18/2007
Last updated
02/04/2013
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