| Doctor Name: | MRS. MARY B COOPER |
| NPI Number: | 1356324750 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NN77409 |
| Business Practice Address: | 125 Us Highway 46 Budd Lake, NJ - 078282523 |
| Business Phone Number: | 9736919400 |
| Business Fax Number: | |
| Mailing Address: | 318 Mountain View Rd W, ASBURY |
| State: | NJ |
| Postal Code: | 088021054 |
| Phone Number: | 9086895736 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2005 |
| NPI Last Update Date: | 02/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NN77409 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |