Individual
THOMAS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5255
(781) 431-5329
Mailing address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5255
(781) 431-5329
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55056
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016756
NEIGHBORHOOD HEALTH PLAN
—
01
—
055056
TUFTS SECURE HORIZONS
—
01
—
070003328
RAILROAD MEDICARE
—
01
—
27422
CHILDREN'S MEDICAL SECURI
—
01
—
401052
HARVARD/PILGRIM
—
01
—
4434
HARVARD PILGRIM PPO
—
01
—
6174167
MASS HEALTH
—
01
—
6692873
CIGNA HEALTH CARE
—
01
—
B87206
FIRST SENIORITY
—
01
—
J04908
BLUE SHIELD INDEMNITY
—
Enumeration date
06/28/2005
Last updated
11/24/2020
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