Emma Casey Cooley
Physician Assistant, Medical in Boston, MA. Individual provider (NPI-1).
NPI number1982304309
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1982304309
- Entity type
- Individual (NPI-1)
- Name
- Emma Casey Cooley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2023
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
450 Brookline AveBoston, MA 02215-5418
Phone 610-283-6507
Mailing address
110 2nd St Unit 101Cambridge, MA 02141-2146
Phone 610-283-6507
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