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Organization

COOPER PHYSICIAN OFFICES

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, HOSPITLAIST PROGRAM, CAMDEN, NJ 08103-1461
(856) 342-3150
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0736144000
AMERIHEALTH GRP#
NJ
Enumeration date
04/24/2007
Last updated
08/22/2020
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