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NPI Code Detail

MEDICARE: DR. SONATA FAITH COOPER M.D.

MEDICARE: DR. SONATA FAITH COOPER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician283408NY
2207V00000XObstetrics & Gynecology Physician25MA11329400NJ

General Provider Information

NPI Number : 1881950558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SONATA FAITH COOPER M.D.
Provider Business Mailing Address
First Line : 250 OLD HOOK RD
Second Line :
City : WESTWOOD
State : NJ
Zip : 07675-3123
Country : US
Telephone Number : 201-722-1600
Fax Number : 201-383-1964
Provider Business Practice Location Address
First Line : 305 W GRAND AVE STE 301
Second Line :
City : MONTVALE
State : NJ
Zip : 07645-1813
Country : US
Telephone Number : 201-746-9150
Fax Number : 201-383-1964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2012
Last Update Date : 12/15/2025

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Directions to “ DR. SONATA FAITH COOPER M.D.” Practice Location

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