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Organization

COOPER SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 968-7263
Entity
Organization

Contact information

Practice address
1 COOPER PLZ, COOPER UNIVERISTY HOSPITAL, CAMDEN, NJ 08103-1461
(856) 968-7433
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0365692000
AMERIHEALTH/KEYSTONE/IBC
NJ
05
2865807
NJ
Enumeration date
10/03/2007
Last updated
10/03/2007
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