Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | C10002563 | DE |
NPI | 1023109311 |
---|---|
Provider Name | Dr. Steven P. Cook |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 22/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001455050 | (05) | PA |
0107955 | (05) | NY |
0530725 | (05) | IA |
1622412 | (05) | MD |
6120105 | (05) | NJ |
6703526 | (05) | VA |
7612295 | (05) | NC |
D01165 | (02) |