NPI 1821640608 · live from the CMS NPI Registry
Patrick Thomas Cooke, PA-C
Physician Assistant in Boston, MA. National Provider Identifier 1821640608, active.
NPI record
| NPI | 1821640608 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 55 Fruit St, Boston, MA 02114 |
| Practice phone | 617-726-2000 |
| Mailing address | 5 Lamontagne Ln, Rutland, VT 05701 |
| Enumerated | July 11, 2019 |
| Last updated | July 11, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.