Individual
DR. RAPHAEL M COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
279 NEW BRITAIN RD, KENSINGTON, CT 06037-1353
(860) 828-9700
(860) 828-9737
Mailing address
279 NEW BRITAIN RD, KENSINGTON, CT 06037-1353
(860) 828-9700
(860) 828-9737
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
027530
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001275305
—
CT
Enumeration date
08/16/2005
Last updated
09/10/2012
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