Provider Demographics
NPI:1871583740
Name:COX, CHRISTOPHER R (DO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:R
Last Name:COX
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:781-681-9901
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:781-681-9901
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA222733208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherTRICARE
MA042297845OtherGREAT WEST HEALTH CARE
MA2086344Medicaid
MAAA18345OtherHVD PILGRIM HEALTH CARE
MA042297845OtherGIC UNICARE
MA0033460OtherNEIGHBORHOOD HLTH PLAN
MA4008912OtherCIGNA
MAJ28163OtherBCBS
MA042297845OtherHCVM
MA469802OtherTUFTS
MA042297845OtherDOC FIRST
MA042297845OtherUNITED HEALTH CARE
MA7949618OtherAETNA
MA91266OtherFALLON
042297845OtherPRIVATE HEALTHCARE SYSTEM
MA469802OtherTUFTS
MA91266OtherFALLON