Provider Demographics
NPI:1184898033
Name:COPE, JOHN J (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:COPE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:17 BELMONT AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-3498
Mailing Address - Country:US
Mailing Address - Phone:802-257-8203
Mailing Address - Fax:802-257-0341
Practice Address - Street 1:19 BELMONT AVE OFC BUILDING
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-7109
Practice Address - Country:US
Practice Address - Phone:802-251-8650
Practice Address - Fax:802-257-3133
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2022-01-27
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Provider Licenses
StateLicense IDTaxonomies
VT042.0012911208600000X
CT52281208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3119938Medicaid
VT1023348Medicaid