Individual
BRUCE E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 HIGHLAND AVE, RADIOLOGY DEPARTMENT, NEWBURYPORT, MA 01950-3867
(978) 463-1120
(978) 463-1170
Mailing address
516 PURITAN RD, SWAMPSCOTT, MA 01907-2820
(978) 463-1120
(978) 463-1171
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
058891
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008708
—
NH
05
—
3029328
—
MA
Enumeration date
07/07/2006
Last updated
07/08/2007
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