Individual
THOMAS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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