Provider Demographics
NPI:1780654541
Name:COOPER, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:COOPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:789 CENTRAL AVENUE
Mailing Address - Street 2:BUSINESS OFFICE
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-740-4478
Mailing Address - Fax:603-740-2244
Practice Address - Street 1:8 CENTURY PINES DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-3732
Practice Address - Country:US
Practice Address - Phone:603-664-2135
Practice Address - Fax:603-664-9128
Is Sole Proprietor?:No
Enumeration Date:2006-01-25
Last Update Date:2012-04-17
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Provider Licenses
StateLicense IDTaxonomies
NH6985207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME433679199Medicaid
NH30200738Medicaid
NHE35798Medicare UPIN
NHRE087603Medicare PIN
ME433679199Medicaid