Cooper, Donna R

Cooper, Donna R is an individual health care provider with primary practice located at 15 Parkman St Wac 108 Medical Walk In Unit, Boston MA 02114-3117. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Cooper, Donna R can be contacted via phone (617) 726-2707.

Contact Information

Primary practice address
15 Parkman St Wac 108 Medical Walk In Unit Boston MA 02114-3117
Phone: (617) 726-2707
Fax: (617) 724-0189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54918 Massachusetts

Profile Details

NPI number 1700876869
LBN Legal business name Cooper, Donna R
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 16th, 2007 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700876869 NPPES
Massachusetts Other J06505 BCBS MA
Massachusetts Other 054918 BCBS MA

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