COOPER PEDIATRIC SPECILAIST NPI 1376675264

NPI Information

NPI: 1376675264
Provider Name: COOPER PEDIATRIC SPECILAIST
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
3 COOPER PLZ
SUITE 200
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-2001
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COOPER PEDIATRIC SPECILAIST is a pediatric cardiology pediatrics in Camden, NJ. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. COOPER PEDIATRIC SPECILAIST NPI is 1376675264. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3 COOPER PLZ
SUITE 200
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-2001

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care and has the following contact phone number (856) 342-7263.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3401901	MEDICAID	NEW JERSEY
2	2128125000	OTHER	NEW JERSEY	AMERIHEALTH GRP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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