Cooper, Bruce E

Cooper, Bruce E is an individual health care provider with primary practice located at 25 Highland Ave Radiology Department, Newburyport MA 01950-3867. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cooper, Bruce E can be contacted via phone (978) 463-1120.

Contact Information

Primary practice address
25 Highland Ave Radiology Department Newburyport MA 01950-3867
Phone: (978) 463-1120
Fax: (978) 463-1170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 058891 Massachusetts

Profile Details

NPI number 1831121144
LBN Legal business name Cooper, Bruce E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
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 1831121144 NPPES
Massachusetts MEDICAID 3029328
Massachusetts MEDICAID 30008708

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