Individual
VANESSA SHAKELIA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092, NEW HAVEN, CT 06510-3221
(203) 688-9503
Mailing address
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092, NEW HAVEN, CT 06510-3221
(203) 688-5555
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
66276
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
09/29/2020
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