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Individual

DR. BRAD J COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
52 WATER ST, THURMONT, MD 21788-1912
(301) 271-3535
(301) 271-2650
Mailing address
3421 CONCORD RD, SUITE B3, YORK, PA 17402-9001
(717) 851-1405
(301) 271-2650

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0022819
MD
207Q00000X
Family Medicine Physician
MD050724L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001453216
PA
01
02244702
CAPITAL BLUE CROSS-WMG
PA
01
107284
UNISON-WMG
PA
05
153251100
MD
01
20013087
AMERIHEALTH MERCY-WMG
PA
01
2101377
MAMSI-WMG
PA
01
307700
CAREFIRST MD BCBS
MD
01
35172
GEISINGER
PA
01
37475
JOHNS HOPKINS
PA
01
4106017
AETNA
PA
01
691655
HIGHMARK BLUE SHIELD
PA
01
P003004
GATEWAY-WMG
PA
Enumeration date
07/11/2006
Last updated
02/26/2019
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