| Martin Cooper M.d. Pa | |
|
1927 Nicholas Dr Huntingdon Valley PA 19006-7930 | |
| (215) 947-9784 | |
| (215) 947-7223 |
| Full Name | Martin Cooper M.d. Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1927 Nicholas Dr, Huntingdon Valley, Pennsylvania |
| Authorized Official Name and Position | Martin Cooper (PRESIDENT) |
| Authorized Official Contact | 2159479784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Cooper M.d. Pa 1927 Nicholas Dr Huntingdon Valley PA 19006-7930 Ph: (215) 947-9784 | Martin Cooper M.d. Pa 1927 Nicholas Dr Huntingdon Valley PA 19006-7930 Ph: (215) 947-9784 |
| NPI Number | 1770899049 |
|---|---|
| Provider Enumeration Date | 08/25/2010 |
| Last Update Date | 08/25/2010 |
| Medicare PECOS PAC ID | 3870789993 |
|---|---|
| Medicare Enrollment ID | O20101201000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770899049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD027137L (Pennsylvania) | Primary |
| Provider Name | Martin Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043324718 PECOS PAC ID: 4789870809 Enrollment ID: I20101201000014 |
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