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Matthew James Cool
Military Health Care Provider in Virginia Beach, Virginia
NPI 1447964614

Matthew James Cool is a Military Health Care Provider based in Virginia Beach, VA. Matthew James Cool practices in Virginia Beach, VA. The NPI Number for Matthew James Cool is 1447964614 and holds a License No. (Virginia).

The current practice location address for Matthew James Cool is 472 Polaris St Bldg 586, Virginia Beach, VA and can be reached out via phone at 757-862-0060.

Location: 472 Polaris St Bldg 586, Virginia Beach, VA, 23461-1935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447964614
Provider Name
Matthew James Cool
Credential
Provider Entity Type
Individual
Gender
Male
Address
472 Polaris St Bldg 586, Virginia Beach, VA, 23461-1935
Phone Number
757-862-0060
Fax Number
Provider Enumeration Date
01/11/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1437528940 01 DEPARTMENT OF DEFENSE TRICARE
institution
Provider Business Practice Location Address Details
Address
472 Polaris St Bldg 586
City
Virginia Beach
State
Virginia
Zip
23461-1935
Phone Number
757-862-0060
Fax Number
person
Provider Business Mailing Address Details
Address
472 Polaris St Bldg 586
City
Virginia Beach
State
Virginia
Zip
23461-1935
Phone Number
757-862-0060
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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