Individual
DR. CHARLES H. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 FRANCIS ST STE 2G, BOSTON, MA 02215-5501
(617) 632-9770
(617) 632-0886
Mailing address
110 FRANCIS ST STE 2G, BOSTON, MA 02215-5501
(617) 632-9770
(617) 632-0886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
258054
MA
208600000X
Surgery Physician
35064289
OH
2086S0102X
Surgical Critical Care Physician
258054
MA
2086S0102X
Surgical Critical Care Physician
35064289
OH
2086S0127X
Trauma Surgery Physician
258054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013172
—
OH
Enumeration date
05/16/2006
Last updated
02/06/2025
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