Individual
DR. CYNTHIA MARGARET COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 STANIFORD ST, MGH INPATIENT CLINICIAN EDUCATOR SERVICE, BOSTON, MA 02114-2517
(617) 643-0595
Mailing address
PO BOX 9142, MASSACHUSETTS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 926-0020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210065
MA
207RN0300X
Nephrology Physician
210065
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192431
—
MA
01
—
210065
TUFTS HEALTH PLAN
MA
01
—
J24706
BCBS MA
MA
Enumeration date
12/21/2005
Last updated
11/17/2011
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