Organization
COOPER SURGICAL ASSOCIATES
Active
Parent organization
COOPER SURGICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPER SURGICAL ASSOCIATES
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE ADMIN)
(856) 342-7369
Entity
Organization
Contact information
Practice address
3740 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3223
(610) 356-9410
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1426007
PA BS
PA
01
—
2111761000
AMERIHEALTH/KEYSTONE IBC
PA
Enumeration date
03/28/2007
Last updated
01/17/2008
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