Organization
COOPER PHYSICAL MEDICINE & REHABILITATION 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
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2040
(856) 968-8311
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194338000
AMERIHEALTH
—
05
—
5307708
—
NJ
01
—
74892
AETNA
—
Enumeration date
06/11/2006
Last updated
07/27/2016
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