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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