Individual
FREDERIC J SCOOPO
Active
Individual
FREDERIC J SCOOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA05375100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121630
CHN INS.
NJ
01
—
222233003
HORIZON BC
NJ
01
—
22223300304
CIGNA INS.
NJ
01
—
290008355
RAILROAD MEDICARE
NJ
01
—
5236048
AETNA INS.
NJ
01
—
77U442
EMPIRE HEALTH
NJ
01
—
P395982
OXFORD INS.
NJ
Enumeration date
08/10/2005
Last updated
02/03/2017
Update your record
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