Organization
COOPER FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MAZZARELLI M.D. (CMO)
(856) 968-7858
Entity
Organization
Contact information
Practice address
3 COOPER PLZ, 104, CAMDEN, NJ 08103-1438
(856) 342-2445
(856) 964-0504
Mailing address
1 FEDERAL ST, SUITE SW200, CAMDEN, NJ 08103-1088
(856) 356-4920
(856) 382-6455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649217175
NPI GROUP#
NJ
Enumeration date
05/24/2016
Last updated
05/24/2016
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