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Organization

COOPER GYN ONCOLOGY ASSOCIATION, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY J. MAZZARELLI M.D. (CHIEF MEDICAL OFFICE)
(856) 968-7858
Entity
Organization

Contact information

Practice address
3 COOPER PLZ, SUITE 104, CAMDEN, NJ 08103-1438
(856) 342-2186
(856) 365-1967
Mailing address
1 FEDERAL STREET, SW-200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 382-6455

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
207VX0201X
Gynecologic Oncology Physician
Primary
NJ
207VX0201X
Gynecologic Oncology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3071901
NJ
Enumeration date
07/22/2006
Last updated
07/27/2016
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