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1003860891
TIMOTHY E COOPER
PUTNAM, CT
NPI
1003860891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CT 027358)
Enumeration Date
2006-05-19
Last Update Date
2011-08-23
Business Address
-- TIMOTHY E COOPER
330 POMFRET STREET
PUTNAM, CT 06260
Phone number: 860-928-2736
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Mailing Address
-- TIMOTHY E COOPER
330 POMFRET STREET
PUTNAM, CT 06260
Phone number: 860-928-2736
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