Individual
PATRICK THOMAS COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
5 LAMONTAGNE LN, RUTLAND, VT 05701-3781
(802) 353-2545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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