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Organization

COOPER FAMILY MEDICINE, 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
1050 KINGS HWY N, SUITE 105, CHERRY HILL, NJ 08034-1909
(856) 321-0303
(856) 321-0090
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NJ
207Q00000X
Family Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0125591001
AMERIHEALTH
01
0341834001
AMERIHEALTH
01
0538689001
AMERIHEALTH
01
0790979001
AMERIHEALTH
01
0807062001
AMERIHEALTH
01
0807066001
AMERIHEALTH
01
0807068001
AMERIHEALTH
01
10453
AETNA
01
10665
AETNA
01
10678
AETNA
01
10825
AETNA
01
2218882006
AMERIHEALTH
01
497006
AETNA
01
511584
AETNA
05
6558101
NJ
01
812711
AETNA
01
957013
AETNA
Enumeration date
06/01/2006
Last updated
07/27/2016
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