Organization
COOPER NEPHROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J MAZZARELLI MD (SEVP)
(856) 968-7433
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, UNIVERSITY RENAL ASSOCIATES, SUITE 215, CAMDEN, NJ 08103-1438
(856) 757-7844
(856) 757-7778
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2233338000
NEPHROLOGY GRP#
NJ
Enumeration date
03/14/2007
Last updated
11/14/2017
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