Individual
SANFORD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 NORTHFIELD AVE, STE 311, WEST ORANGE, NJ 07052-4703
(973) 325-2103
(973) 325-2254
Mailing address
111 NORTHFIELD AVE, STE 311, WEST ORANGE, NJ 07052-4703
(973) 325-2103
(973) 325-2254
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA04597300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0419800
—
NJ
Enumeration date
02/22/2006
Last updated
03/07/2012
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