Shontreal Monique Cooper
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
263 Farmington Avenue
Farmington
, Connecticut 06030-8082
Shontreal Monique Cooper
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
263 Farmington Avenue
Farmington
, Connecticut 06030-8082
(860) 679-1627
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Shontreal Monique Cooper
- 263 Farmington Avenue
- Farmington, CT
- Zip : 06030-8082
- Fax : (860) 679-1627
- Phone : (860) 679-2792
Second Address
- Shontreal Monique Cooper
- 263 Farmington Avenue
- Farmington, CT
- Zip : 06030-8082
- Fax : (860) 679-1627
- Phone : (860) 679-2792
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 063562 | CT |
| N | 207V00000X | Obstetrician & Gynecologist | MT208438 | PA |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 063562 | CT |
National Provider Identifier
| NPI | 1235540154 |
|---|---|
| Provider Name | Shontreal Monique Cooper |
| First Address | Farmington, CT 06030-8082 |
| Second Address | Farmington, CT 06030-8082 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2014 |
| Last Update Date | 15/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.