Individual
REBEKAH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 WASHINGTON AVE, UNION, NJ 07083-8921
(908) 249-1237
Mailing address
199 WASHINGTON AVE., UNION, NJ 07083
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ00620800
NJ
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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