Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 027047 | CT |
N | 208200000X | Surgeon | 027047 | CT |
N | 208600000X | Surgeon | 027047 | CT |
NPI | 1083869572 |
---|---|
Provider Name | Dr. Carol Lynne Cooper |
First Address | Norwalk, CT 06851 |
Second Address | Norwalk, CT 06851 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2008 |
Last Update Date | 25/11/2008 |