Individual
CHARLES P COCHRAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 MAIN AVE, SUITE 201, NORWALK, CT 06851-1080
(203) 838-4000
(203) 845-9535
Mailing address
761 MAIN AVE, SUITE 201, NORWALK, CT 06851-1080
(203) 838-4000
(203) 845-9535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029822
CT
207RP1001X
Pulmonary Disease Physician
029822
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187466
—
CT
Enumeration date
09/19/2006
Last updated
08/28/2013
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