Individual
MR. MARK COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 LITTLE ALBANY ST., NEW BRUNSWICK, NJ 08903-2681
(732) 235-2465
Mailing address
195 LITTLE ALBANY ST., NEW BRUNSWICK, NJ 08903-2681
(732) 235-2465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00636500
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00636500
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00636500
NJ
Other
Enumeration date
02/10/2016
Last updated
04/11/2024
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