Organization
COOPER PHYSICIAN OFFICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 342-2921
Entity
Organization
Contact information
Practice address
196 GROVE AVE, SUITE C, THOROFARE, NJ 08086-2139
(856) 848-7577
(856) 848-6554
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0736144027
AMERI GRP#
NJ
Enumeration date
06/12/2007
Last updated
08/22/2020
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