# COOPER PEDIATRIC SPECIALIST

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1770616153
- **Authorized official:** ROBERT MCMULLEN (EVP MANAGED CARE)
- **Authorized official phone:** (856) 342-7263

## Contact information

- **Practice address:** 3 COOPER PLZ, SUITE 200, CAMDEN, NJ 08103-1438
- **Practice address phone:** (856) 342-2000
- **Mailing address:** 3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
- **Mailing address phone:** (856) 968-7433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0214X | Pediatric Pulmonology Physician | — | NULL | Yes |
| 2080P0214X | Pediatric Pulmonology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020