Individual
DR. JASON ELLIS COOK
Active
Individual
DR. JASON ELLIS COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A75756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104032
—
MA
01
—
470153
TUFTS HEALTH PLAN
MA
01
—
J28546
BCBS MA
MA
Enumeration date
09/26/2006
Last updated
02/04/2019
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