COOPER SURGICAL ASSOCIATES NPI 1154440618

NPI Information

NPI: 1154440618
Provider Name: COOPER SURGICAL ASSOCIATES
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
3 COOPER PLZ
SUITE 403
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-3113
Get Directions

COOPER SURGICAL ASSOCIATES is a vascular surgery surgery in Camden, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. COOPER SURGICAL ASSOCIATES NPI is 1154440618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 COOPER PLZ
SUITE 403
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-3113

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp Managed Care Admin and has the following contact phone number (856) 342-7369.

The enumeration date for this NPI number is 3/28/2007 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	2086S0129X	Surgery	Vascular Surgery			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	2865807	MEDICAID	NEW JERSEY

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

NPI Synchronization or Removal

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