Provider Demographics
NPI:1760639892
Name:COOK, JOSEPH A (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:COOK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:830 AMHERST RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646
Mailing Address - Country:US
Mailing Address - Phone:330-834-4725
Mailing Address - Fax:330-834-4726
Practice Address - Street 1:830 AMHERST RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646
Practice Address - Country:US
Practice Address - Phone:330-834-4725
Practice Address - Fax:330-834-4726
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2012-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH34-009376207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine