Organization
UNIVERSITY RADIOLOGY AT COOPER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU DEVANEY (CREDENTIALING MANAGER)
(732) 390-0040
Entity
Organization
Contact information
Practice address
2339 ROUTE 70 W, CHERRY HILL, NJ 08002-3315
(856) 532-9644
(856) 532-9643
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 955-8874
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
03/31/2022
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