Individual
DR. HERBERT JOHN COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(123) 055-9742
Mailing address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 305-5974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
L-237524
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036-128263
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
262189
NY
Other
Enumeration date
11/25/2008
Last updated
03/14/2023
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