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Organization
COOPER SURGICAL ASSCOCIATES
Active
Organization
COOPER SURGICAL ASSCOCIATES
Active
Parent organization
COOPER SURGICAL ASSCOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPER SURGICAL ASSCOCIATES
Authorized official
ROBERT MCMULLEN (EVP - MANAGED CARE)
(856) 968-7263
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-3250
Mailing address
3 COOPER PLZ, SUTIE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2843948000
AMERIHEALTH/KEYSTONE/IBC
NJ
05
—
2865807
—
NJ
Enumeration date
08/23/2007
Last updated
08/23/2007
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