Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 022637 | CT |
NPI | 1154319093 |
---|---|
Provider Name | Dennis L Cooper |
First Address | New Brunswick, NJ 08901-2036 |
Second Address | New Brunswick, NJ 08901-2036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 20/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001226372 | (05) | CT |
D88755 | (02) |