Cooper Physician Offices
Organization Active NPI Internal Medicine Physician · Gloucester City, NJ
NPI 1093933004 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1093933004
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COOPER PHYSICIAN OFFICES
- Practice address
- 14 South Broadway
Gloucester City, NJ 08030 - Phone
- (856) 456-0518
- Fax
- (856) 456-4359
- NPI assigned
- Apr 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Robert McMullen
- Title
- Evp Managed Care
- Phone
- (856) 342-2921
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Cooper Physician Offices
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
14 South Broadway
Gloucester City, NJ 08030
Mailing address
3 Cooper Plaza
Suite 502
Camden, NJ 08103
Phone (856) 342-2921
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0736144003 | Other | NJ | AMERIHEALTH GRP# |
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All providers in Gloucester City, NJ · Internal Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.