Cooley, James R

Cooley, James R is an individual health care provider with primary practice located at 230 Worcester St , Wellesley MA 02481-5420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cooley, James R can be contacted via phone (781) 431-5200.

Contact Information

Primary practice address
230 Worcester St Wellesley MA 02481-5420
Phone: (781) 431-5200
Fax: (781) 431-5298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49294 Massachusetts

Profile Details

NPI number 1851377659
LBN Legal business name Cooley, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851377659 NPPES
Massachusetts Other 049294 TUFTS
Massachusetts Other 0015124 TUFTS
Massachusetts Other J03642 TUFTS
Massachusetts Other PP149 TUFTS
Massachusetts MEDICAID 3102483 TUFTS

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