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Organization
COOPER UNIVERSITY DENTAL HEALTH P.C.
Active
Organization
COOPER UNIVERSITY DENTAL HEALTH P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MAZZARELLI MD (AUTHORIZED OFFICIAL)
(516) 593-1380
Entity
Organization
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2627
Mailing address
1 FEDERAL ST STE S400, CAMDEN, NJ 08103-1157
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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