Individual
EDWARD W COONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 GROVE RD, THOROFARE, NJ 08086-0037
(856) 845-8010
(856) 845-9398
Mailing address
400 GROVE RD, PO BOX 37, THOROFARE, NJ 08086-0037
(856) 845-8010
(856) 845-9398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA6550700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7259204
—
NJ
Enumeration date
09/22/2006
Last updated
07/08/2007
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