Individual
MARK S. NEMIROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE COOPER PLAZA, COOPER ANESTHESIA ASSOCIATES, CAMDEN, NJ 08103
(856) 342-2425
(856) 968-8239
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA03319600
NJ
207L00000X
Anesthesiology Physician
MD-036712-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00781956
—
PA
01
—
0083506000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
010046593
AMERIHCOICE
NJ
01
—
1867334/4201149
AETNA
NJ
05
—
2048400
—
NJ
01
—
2423652
UNITED HEALTHCARE
NJ
01
—
60040928
HORIZON NJ HEALTH
NJ
01
—
60040929
HORIZON NJ HEALTH
NJ
01
—
6184259
CIGNA
NJ
Enumeration date
06/27/2005
Last updated
04/25/2016
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