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COOPER FAMILY MEDICINE NPI 1033312939


NPI Information

NPI: 1033312939
Provider Name: COOPER FAMILY MEDICINE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 31D0911945

Address:
3156 RIVER RD
CAMDEN, NJ
ZIP 08105
Phone: (856) 963-0126
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COOPER FAMILY MEDICINE is a family medicine in Camden, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COOPER FAMILY MEDICINE NPI is 1033312939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3156 RIVER RD
CAMDEN, NJ
ZIP 08105-242
Phone: (856) 963-0126
Fax: (856) 365-0279

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care and has the following contact phone number (856) 342-2921.

The CLIA number assigned to this NPI record is 31D0911945 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/7/2007 and was last updated on 5/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16558101MEDICAIDNEW JERSEY
2780306 DD3MEDICARE PINNEW JERSEY
32218882006OTHERNEW JERSEYAMERIHEALTH GROUP #

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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