Benjamin P Cooke, PAC
Physician Assistant in St Albans, VT. Individual provider (NPI-1).
NPI number1144257585
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1144257585
- Entity type
- Individual (NPI-1)
- Name
- Benjamin P Cooke
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0550030525 | VT | Yes |
Practice location
133 Fairfield StSt Albans, VT 05478-1726
Phone 802-524-5911 · Fax 802-524-1057
Mailing address
133 Fairfield StSt Albans, VT 05478-1726
Phone 802-524-5911 · Fax 802-524-1057
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