Cooney, John Vincent

Cooney, John Vincent is an individual health care provider with primary practice located at 114 Whitwell St , Quincy MA 02169-1870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Cooney, John Vincent can be contacted via phone (617) 376-4058.

Contact Information

Primary practice address
114 Whitwell St Quincy MA 02169-1870
Fax: (617) 376-1641
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 70318 Massachusetts

Profile Details

NPI number 1972590784
LBN Legal business name Cooney, John Vincent
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 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 1972590784 NPPES
Massachusetts MEDICAID 3079546

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