Individual
DR. MARSHALL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
592B SPRINGFIELD AVE, SUITE A, WESTFIELD, NJ 07090-1026
(908) 232-1060
(908) 233-4909
Mailing address
592B SPRINGFIELD AVE, SUITE A, WESTFIELD, NJ 07090-1026
(908) 232-1060
(908) 233-4909
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00112300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0513407
—
NY
01
—
1100880001
DMERC
—
01
—
4723350001
DMERC
—
Enumeration date
11/29/2006
Last updated
08/03/2010
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