Doctor Name: | TRACI L COOK |
NPI Number: | 1003022245 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | OS014830 |
Business Practice Address: | 1203 Langhorne Newtown Rd St Clare Bldg, Suite 225 Langhorne, PA - 190471209 |
Business Phone Number: | 2157507771 |
Business Fax Number: | 2157509359 |
Mailing Address: | 1203 Langhorne Newtown Rd, St Clare Bldg, Suite 225 LANGHORNE |
State: | PA |
Postal Code: | 190471209 |
Phone Number: | 2157507771 |
Fax Number: | 2157509359 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 10/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | OS014830 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |