Organization
CMC DEPARTMENT OF MEDICINE GROUP PA
Active
Organization
CMC DEPARTMENT OF MEDICINE GROUP PA
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
1 COOPER PLZ, CRITICAL CARE, CAMDEN, NJ 08103-1461
(856) 342-3084
(856) 968-7420
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 342-2921
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144779000
AMERI GRP #
NJ
Enumeration date
03/09/2007
Last updated
07/01/2008
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