Provider Demographics
NPI:1740866789
Name:COOK, CAITLIN ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:ALEXANDRA
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36436 CHARLES TOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:VA
Mailing Address - Zip Code:20132-2739
Mailing Address - Country:US
Mailing Address - Phone:571-291-1054
Mailing Address - Fax:
Practice Address - Street 1:601 ELMWOOD AVENUE BOX SURG
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-2723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-21
Last Update Date:2021-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program