Individual
GRANT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 EWING ST STE A2, PRINCETON, NJ 08540-2767
(609) 454-0760
Mailing address
601 EWING ST STE A2, PRINCETON, NJ 08540-2767
(609) 454-0760
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07993000
NJ
Other
Enumeration date
06/07/2006
Last updated
01/22/2014
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