Individual provider · Type 1 NPI
Keith D. Cook, D.P.M.
Foot & Ankle Surgery Podiatrist · Newark, NJ
NPI number
1235243106
Active
Practice location
140 Bergen St, Level E
Newark, NJ 07103-2425
Fax (973) 972-3162
Mailing address
30 Bergen St, Admc 12 1205
Newark, NJ 07107-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 25MD00254100 (NJ) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1235243106
Keith D. Cook, D.P.M.'s National Provider Identifier is 1235243106, issued on Aug 18, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Newark, NJ. The record was last updated on May 31, 2022.