Organization
COOPER PHYSICIAN OFFICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 342-2921
Entity
Organization
Contact information
Practice address
1210 BRACE RD, SUITE 102, CHERRY HILL, NJ 08034-3213
(856) 428-6616
(856) 428-4823
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
—
0736144004
AMRIHEALTH GRP #
NJ
Enumeration date
04/11/2007
Last updated
08/22/2020
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