Individual
SUSAN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 RIDGELY AVE, SUITE 302, ANNAPOLIS, MD 21401-1439
(410) 280-9500
(443) 214-5168
Mailing address
104 RIDGELY AVE, SUITE 302, ANNAPOLIS, MD 21401-1439
(410) 280-9500
(443) 214-5168
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
D0024768
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548601883
GROUP NPI
MD
Enumeration date
02/04/2014
Last updated
02/04/2014
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