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Organization
COOPER FAMILY MEDICINE, PC
Active
Organization
COOPER FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J. MAZZARELLI M.D. (CHIEF MEDICAL OFFICE)
(856) 968-7858
Entity
Organization
Contact information
Practice address
1050 KINGS HWY N, SUITE 105, CHERRY HILL, NJ 08034-1909
(856) 321-0303
(856) 321-0090
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0125591001
AMERIHEALTH
—
01
—
0341834001
AMERIHEALTH
—
01
—
0538689001
AMERIHEALTH
—
01
—
0790979001
AMERIHEALTH
—
01
—
0807062001
AMERIHEALTH
—
01
—
0807066001
AMERIHEALTH
—
01
—
0807068001
AMERIHEALTH
—
01
—
10453
AETNA
—
01
—
10665
AETNA
—
01
—
10678
AETNA
—
01
—
10825
AETNA
—
01
—
2218882006
AMERIHEALTH
—
01
—
497006
AETNA
—
01
—
511584
AETNA
—
05
—
6558101
—
NJ
01
—
812711
AETNA
—
01
—
957013
AETNA
—
Enumeration date
06/01/2006
Last updated
07/27/2016
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