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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