Individual
DR. ANTHONY CHARLES COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, MS
Contact information
Practice address
121 COULTER AVE, SUITE 109, ARDMORE, PA 19003-2418
(610) 645-6314
(610) 645-9923
Mailing address
121 COULTER AVE, SUITE 109, ARDMORE, PA 19003-2418
(215) 990-0264
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006189
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC006189
PA STATE LICENSE, PODIATRY
PA
Enumeration date
08/27/2010
Last updated
09/18/2013
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