Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MA45987 | NJ |
NPI | 1073518932 |
---|---|
Provider Name | Dr. Stephen S. Cook |
First Address | Somerset, NJ 08873-1369 |
Second Address | Somerset, NJ 08873-1369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 29/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C58345 | (02) | NJ |