# COOPER SURGICAL ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1427177195
- **Authorized official:** ROBERT MCMULLEN (EVP MANAGED CARE ADMIN)
- **Authorized official phone:** (856) 342-7369

## Contact information

- **Practice address:** 6225 MAIN ST, VOORHEES, NJ 08043-4629
- **Practice address phone:** (856) 325-6674
- **Mailing address:** 3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
- **Mailing address phone:** (856) 968-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2238408000 | AMERIHEALTH GRP NUMBER | NJ |
| 05 | — | 7161701 | — | NJ |