Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 25MA09319700 | NJ |
NPI | 1093976466 |
---|---|
Provider Name | Dr. Kristin Cook |
First Address | Hackensack, NJ 07601-3231 |
Second Address | Hackensack, NJ 07601-3244 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 19/04/2018 |