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NPI Code Detail

MEDICARE: DR. WILLIAM CARL COOLEY MD

MEDICARE: DR. WILLIAM CARL COOLEY MD
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
12080P0006XDevelopmental - Behavioral Pediatrics Physician5526NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962476366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM CARL COOLEY MD
Provider Business Mailing Address
First Line : 1 VERNEY DR
Second Line :
City : GREENFIELD
State : NH
Zip : 03047-5000
Country : US
Telephone Number : 603-547-3311
Fax Number : 603-547-3232
Provider Business Practice Location Address
First Line : 1 VERNEY DR
Second Line :
City : GREENFIELD
State : NH
Zip : 03047-5000
Country : US
Telephone Number : 603-547-3311
Fax Number : 603-547-3232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM CARL COOLEY MD” Practice Location

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