Organization
COOPER ANESTHESIA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J. MAZZARELLI M.D. (CHIEF MEDICAL OFFICE)
(856) 968-7858
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, SUITE 314, CAMDEN, NJ 08103-1438
(856) 963-6770
(856) 968-8240
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NJ
207L00000X
Anesthesiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0758263000
AMERIHEALTH/KEYSTONE/IBC
NJ
05
—
6450202
—
NJ
01
—
CC6408
RAIL ROAD MEDICARE
NJ
Enumeration date
05/28/2006
Last updated
07/27/2016
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