Cooper, Roger

Cooper, Roger is an individual health care provider with primary practice located at 268 Martin Luther King Jr Blvd St Michael Infectious Disease, Newark NJ 07102-2011. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cooper, Roger can be contacted via phone (973) 877-2586.

Contact Information

Primary practice address
268 Martin Luther King Jr Blvd St Michael Infectious Disease Newark NJ 07102-2011
Phone: (973) 877-2586
Fax: (973) 877-2661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA35197 New Jersey

Profile Details

NPI number 1306807938
LBN Legal business name Cooper, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1306807938 NPPES
New Jersey MEDICAID 2048604

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