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Contact Information

CARMEN COOPER
218 CALVARY ST
UNIT A
WALTHAM, MA02453-8366
 Phone: 857-919-1502
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for CARMEN COOPER · (Female)

NPI Number 1497993208
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2009
Last updated 02/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 1663
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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