Provider Demographics
NPI:1841841020
Name:COOK, ROBERT E
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:E
Last Name:COOK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOOKSETT RD STE 106
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1073
Mailing Address - Country:US
Mailing Address - Phone:603-666-4555
Mailing Address - Fax:
Practice Address - Street 1:1100 HOOKSETT RD STE 106
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1073
Practice Address - Country:US
Practice Address - Phone:603-666-4555
Practice Address - Fax:603-626-5890
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies