Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 000234 | CT |
NPI | 1053530857 |
---|---|
Provider Name | Dr. Richard John Cooper |
First Address | New Canaan, CT 06840-4532 |
Second Address | New Canaan, CT 06840-4532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |