# COOPER SURGICAL ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1336435957
- **Authorized official:** CAROLYN E BEKES MD (CHIEF MEDICAL OFFICER, SEVP)
- **Authorized official phone:** (856) 963-6888

## Contact information

- **Practice address:** 3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
- **Practice address phone:** (856) 342-2270
- **Practice address fax:** (856) 365-1180
- **Mailing address:** 3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
- **Mailing address phone:** (856) 963-6888
- **Mailing address fax:** (856) 968-8499

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 06/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1154440618 | AMERIHEALTH PROVIDER GROUP NUMBER | — |