Organization
COOPER SURGICAL ASSOCIATES
Active
Parent organization
COOPER SURGICAL ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPER SURGICAL ASSOCIATES
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE)
(856) 968-7263
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-3275
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119694
—
NJ
01
—
2843030000
AMERIHEALTH/KEYSTONE/IBC
NJ
Enumeration date
08/23/2007
Last updated
08/23/2007
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