# CARDIAC PREVENTIVE AND WELLNESS SERVICES OF SOUTH JERSEY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1275036923
- **Authorized official:** DR. ANDREW M COGAN DO (OWNER)
- **Authorized official phone:** (609) 707-9071

## Contact information

- **Practice address:** 1930 MARLTON PIKE E UNIT 1142, CHERRY HILL, NJ 08003-2150
- **Practice address phone:** (856) 446-6961
- **Mailing address:** 1930 MARLTON PIKE E UNIT 1142, CHERRY HILL, NJ 08003-2150
- **Mailing address phone:** (856) 446-6961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25MB06500100 | NJ | Yes |

## Other

- **Enumeration date:** 03/08/2018
- **Last updated:** 03/08/2018