Provider Demographics
NPI:1982675872
Name:COOK, MAUREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:57 BEDFORD ST
Mailing Address - Street 2:STE 205
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-4500
Mailing Address - Country:US
Mailing Address - Phone:781-274-0311
Mailing Address - Fax:781-274-8243
Practice Address - Street 1:57 BEDFORD ST
Practice Address - Street 2:STE 205
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-4500
Practice Address - Country:US
Practice Address - Phone:781-274-0311
Practice Address - Fax:781-274-8243
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA71087207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3049787Medicaid
MA3049787Medicaid
MAE12392Medicare UPIN