Dr. Jacob Charles Cooper, MD
Hospitalist in Portland, ME. Individual provider (NPI-1).
NPI number1407433709
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1407433709
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Charles Cooper
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2021
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | MD29409 | ME | Yes |
| 207R00000X | Internal Medicine | MD29409 | ME |
Practice location
22 Bramhall StPortland, ME 04102-3175
Phone 207-662-0111
Mailing address
22 Bramhall StPortland, ME 04102-3134
Phone 207-662-4618 · Fax 207-662-6254
Other practice locations
1 Medical Center Dr
Biddeford, ME 04005-9422
Biddeford, ME 04005-9422
Phone 207-283-7937 · Fax 207-283-7018
25 June St
Sanford, ME 04073-2621
Sanford, ME 04073-2621
Phone 207-324-4310
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