# COOPER SURGICAL ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1790071314
- **Authorized official:** CAROLYN E BEKES MD (CHIEF MEDICAL OFFICER, SEVP)
- **Authorized official phone:** (856) 963-6888

## Contact information

- **Practice address:** 3 COOPER PLZ, SUITE 408, CAMDEN, NJ 08103-1438
- **Practice address phone:** (856) 342-3321
- **Practice address fax:** (856) 541-2387
- **Mailing address:** 3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
- **Mailing address phone:** (856) 963-6888
- **Mailing address fax:** (856) 968-8499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 06/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2262899000 | AMERIHEALTH GROUP PROVIDER NUMBER | NJ |