Cooper, Raphael M
Cooper, Raphael M is an sole proprietor health care provider with primary practice located at 279 New Britain Rd , Kensington CT 06037-1353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cooper, Raphael M can be contacted via phone (860) 828-9700.Contact Information
Primary practice address
279 New Britain Rd
Kensington CT 06037-1353
Phone: (860) 828-9700
Fax: (860) 828-9737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 027530 | Connecticut |
Profile Details
| NPI number | 1811989890 |
|---|---|
| LBN Legal business name | Cooper, Raphael M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Sep 10th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811989890 | NPPES |
| Connecticut | MEDICAID | 001275305 |
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