# COOPER SURGICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154440618
- **Authorized official:** ROBERT MCMULLEN (EVP MANAGED CARE ADMIN)
- **Authorized official phone:** (856) 342-7369

## Contact information

- **Practice address:** 3 COOPER PLZ, SUITE 403, CAMDEN, NJ 08103-1438
- **Practice address phone:** (856) 342-3113
- **Mailing address:** 3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
- **Mailing address phone:** (856) 968-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2865807 | — | NJ |