Individual
ELIZABETH ANN CERCEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, THE COOPER HOSPITALIST TEAM, CAMDEN, NJ 08103
(856) 342-2000
(856) 968-8418
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08348700
NJ
207R00000X
Internal Medicine Physician
MT185738
PA
208M00000X
Hospitalist Physician
Primary
25MA08348700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA08348700
NJ STAE MEDICAL LICENSE
NJ
Enumeration date
12/18/2006
Last updated
05/31/2018
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