Individual
HARRY ALAN COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 E JIMMIE LEEDS RD, STE 101, GALLOWAY, NJ 08205-9599
(609) 677-9729
(609) 652-6270
Mailing address
72 W JIMMIE LEEDS RD, STE 1100, GALLOWAY, NJ 08205-9406
(609) 677-9729
(609) 652-7153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA04111900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5133106
—
NJ
01
—
P00658336
RAILROAD MEDICARE
NJ
01
—
P00793699
RAILROAD MEDICARE
NJ
01
—
P00847758
RAILROAD MEDICARE
NJ
Enumeration date
05/25/2006
Last updated
11/22/2011
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