Organization
COOPER FAMILY MEDICINE PC
Active
Parent organization
COOPER FAMILY MEDICINE PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPER FAMILY MEDICINE PC
Authorized official
ANTHONY MAZZARELLI M.D. (CMO)
(856) 968-7858
Entity
Organization
Contact information
Practice address
200 COLLEGE DRIVE, BLACKWOOD, NJ 08012-3228
(856) 536-1630
(856) 536-1635
Mailing address
1 FEDERAL STREET, SUITE SW200, CAMDEN, NJ 08103-1155
(856) 356-4920
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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