# COOPER FACULTY OB-GYN, PC

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

## Provider details

- **NPI number:** 1225058027
- **Authorized official:** ANTHONY J. MAZZARELLI M.D. (CHIEF MEDICAL OFFICE)
- **Authorized official phone:** (856) 968-7858

## Contact information

- **Practice address:** 1103 KINGS HWY N, SUITE 201, CHERRY HILL, NJ 08034-1983
- **Practice address phone:** (856) 321-1800
- **Practice address fax:** (856) 321-0133
- **Mailing address:** 1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
- **Mailing address phone:** (856) 356-4924
- **Mailing address fax:** (856) 382-6455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NJ | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 07/28/2016