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Organization

COOPER SURGICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT MCMULLEN (EVP MANAGED CARE ADMIN)
(856) 342-7369
Entity
Organization

Contact information

Practice address
3 COOPER PLZ, SUITE 518, CAMDEN, NJ 08103-1438
(856) 968-7494
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2265556000
AMERIHEALTH GRP NUMBER
NJ
05
7161701
NJ
Enumeration date
03/28/2007
Last updated
08/22/2020
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