Individual
DR. TERI L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 NORTH ST, BERKSHIRE MEDICAL CENTER LABORATORY, PITTSFIELD, MA 01201-4132
(413) 447-2598
(413) 395-7622
Mailing address
725 NORTH ST, BERKSHIRE MEDICAL CENTER LABORATORY, PITTSFIELD, MA 01201-4132
(413) 447-2598
(413) 395-7622
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
55535
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3040216
—
MA
01
—
J07355
MA BC/BS
MA
Enumeration date
07/03/2006
Last updated
07/09/2007
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