Grace N Kooper in Brockton - Addiction Medicine
Grace N Kooper - NPI 1477531895
Grace N Kooper is a Addiction Medicine in Brockton, Massachusetts. Grace N Kooper practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Grace N Kooper is 1477531895. The last update date is 2023-04-25.
Grace N Kooper's current location address is 680 Centre St, Brockton, Massachusetts. You can contact this provider via phone number 8089417228 and fax number 5089416401. The mailing address for Grace N Kooper is 680 Centre St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Grace N Kooper |
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Address | 680 Centre St, Brockton, Massachusetts |
Phone Number | 8089417228 |
Fax Number | 5089416401 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1477531895 |
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Provider Enumeration Date | 2006-01-05 |
Last Updated Date | 2023-04-25 |
Provider Mailing Address Detail
Address | 680 Centre St |
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City | Brockton |
State | Massachusetts (MA) |
Post Code | 23023308 |
Phone Number | 8089417228 |
Fax Number | 5089416401 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 2083A0300X |
Licence No | 78340 |
Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
110055852A | MA | -- | |
3139123 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Grace N Kooper by the Centers for Medicare & Medicaid Services?
The Grace N Kooper has been issued the NPI (National Provider Identifier) 1477531895, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Grace N Kooper's facilities are situated?
The facilities of Grace N Kooper are physically located at the following address: 680 Centre St, Brockton, MA, 23023308.
What is the Grace N Kooper's area of specialization and corresponding taxonomy classification?
The Grace N Kooper's specialty field is Addiction Medicine, and it falls under the taxonomy code 2083A0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1477531895 to Grace N Kooper?
The Grace N Kooper received its 1477531895 assignment from the Centers for Medicare & Medicaid Services on 2006-01-05.
When was the Grace N Kooper's information last updated?
The Grace N Kooper's information was last updated on 2023-04-25.