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Individual

DR. GRACE N KOOPER

Active
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Individual

DR. GRACE N KOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
78340
MA
2084P0800X
Psychiatry Physician
Primary
78340
MA
2084P0800X
Psychiatry Physician
MD09334
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110055852A
MA
05
3139123
MA
Enumeration date
01/05/2006
Last updated
04/25/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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