Cooper, Hugh Mark

Cooper, Hugh Mark is an individual health care provider with primary practice located at 100 South St Suite 200, Southbridge MA 01550-4051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Cooper, Hugh Mark can be contacted via phone (508) 764-4400.

Contact Information

Primary practice address
100 South St Suite 200 Southbridge MA 01550-4051
Fax: (508) 764-3300
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 153361 Massachusetts

Profile Details

NPI number 1942296561
LBN Legal business name Cooper, Hugh Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 6th, 2020 - about 6 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 1942296561 NPPES
Massachusetts MEDICAID 3164624

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