Organization
COOPER UNIVERSITY HOSPITAL CHILDREN'S REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GRAESSLE M.D. (PROGRAM DIRECTOR)
(856) 757-7904
Entity
Organization
Contact information
Practice address
401 HADDON AVE, E & R BUILDING 3RD FLOOR, CAMDEN, NJ 08103-1505
(856) 757-7904
Mailing address
401 HADDON AVE, E & R BUILDING 3RD FLOOR, CAMDEN, NJ 08103-1505
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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