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Organization

COOPER FAMILY MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 342-2921
Entity
Organization

Contact information

Practice address
1050 KINGS HWY N, SUITE 105, CHERRY HILL, NJ 08034-1909
(856) 321-0303
(856) 321-0090
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0807062001
AMERIHEALTH GROUP #
NJ
Enumeration date
06/11/2007
Last updated
05/13/2008
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