Individual
MARK J PELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ RM 411, COOPER SURGICAL ASSOCIATES, CAMDEN, NJ 08103-1438
(856) 342-3412
(856) 365-1180
Mailing address
3 COOPER PLZ, 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MA32132
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097397000
AMERIHEALTH/KESYTONE/IBC
NJ
01
—
1010875
HORIZON NJ HEALTH
NJ
01
—
1242926
UNITED HEALTHCARE
NJ
05
—
1328701
—
NJ
01
—
16735
AETNA
NJ
01
—
22502
UNIVERSITY HEALTH PLAN
NJ
01
—
3K6211
HEALTHNET
NJ
01
—
400785
AMERIHEALTH PPO/PA BS
NJ
01
—
6710804
CIGNA
NJ
01
—
CA0000068
AMERICHOICE
NJ
01
—
P531590
OXFORD HEALTH PLAN
NJ
Enumeration date
10/12/2006
Last updated
06/18/2014
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