Organization
GEORGE N. COOPER, JR. MD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEROGE COOPER MD (PRESIDENT)
(401) 739-0011
Entity
Organization
Contact information
Practice address
1725 MENDON RD, SUITE 207, CUMBERLAND, RI 02864-4337
(401) 334-2423
Mailing address
1725 MENDON RD, SUITE 207, CUMBERLAND, RI 02864-4337
(401) 334-2423
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001165
—
RI
Enumeration date
09/18/2007
Last updated
10/31/2007
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