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Individual

DR. HUGH MARK COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 SOUTH ST, SUITE 200, SOUTHBRIDGE, MA 01550-4051
(508) 764-4400
(508) 764-3300
Mailing address
100 SOUTH ST, SUITE 200, SOUTHBRIDGE, MA 01550-4051
(508) 764-4400
(508) 764-3300

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
153361
MA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
153361
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3164624
MA
Enumeration date
09/20/2005
Last updated
07/06/2020
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