IndividualActive
Carmen Cooper
NPI 1497993208 · Contractor · Waltham, MA
Provider details
- NPI number
- 1497993208
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1663 (MA)
Specialties & taxonomies
Other Service Providers
Practice location
218 Calvary St
Unit a
Waltham, MA 02453-8366
Phone: (857) 919-1502
Approximate (ZIP-level) locationGet directions
Mailing address
218 Calvary St
Waltham, MA 02453-8366
Registry dates
- Enumerated
- 2009-02-02
- Last updated
- 2009-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.