Provider Demographics
NPI:1518322460
Name:COOK, MACY (PA)
Entity Type:Individual
Prefix:MS
First Name:MACY
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:YAWKEY 2C
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2696
Mailing Address - Country:US
Mailing Address - Phone:617-726-4700
Mailing Address - Fax:617-724-8532
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-4700
Practice Address - Fax:617-724-8532
Is Sole Proprietor?:No
Enumeration Date:2015-12-18
Last Update Date:2019-10-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant