Robert L Cooper, MD
Individual provider Active NPI Internal Medicine Physician · Medway, MA
NPI 1295917573 · NPPES record last updated Oct 19, 2012
Key facts
- NPI
- 1295917573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 56803 (MA)
- Practice address
- 81B Main St
Medway, MA 02053-1812 - Phone
- (508) 533-4377
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 56803 | MA | Yes |
Addresses
Primary practice location
81B Main St
Medway, MA 02053-1812
Mailing address
81B Main St
Medway, MA 02053-1812
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J05808 | Other | MA | BCBS |
| 9767614 | Medicaid | MA |
Other providers in Medway, MA
- Dennis Michael Coakley
- Rachael Coffin
- Heather Marie Cohen
- Debra L. Cohn
- Wendy J. Collins
- Mia Jasmine Copeland-Brock
- Lucia Coplan
- Kara B. Corley V
- Kayla Corshia
- Christa Cosmo
All providers in Medway, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.