Provider Demographics
NPI:1245215631
Name:COCHRANE, CHRISTINE P (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:P
Last Name:COCHRANE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2552
Mailing Address - Country:US
Mailing Address - Phone:603-668-6489
Mailing Address - Fax:603-663-7890
Practice Address - Street 1:57 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2552
Practice Address - Country:US
Practice Address - Phone:603-668-6489
Practice Address - Fax:603-663-7890
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11210207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine