Organization
CMC DEPARTMENT OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 342-2921
Entity
Organization
Contact information
Practice address
1 COOPER PLZ, VASCULAR CENTER, CAMDEN, NJ 08103-1461
(856) 342-4192
(856) 365-0472
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2820076000
AMERIHEALTH GRP#
NJ
Enumeration date
05/14/2007
Last updated
03/19/2008
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