COOPER SURGICAL ASSCOCIATES NPI 1649463696

NPI Information

NPI: 1649463696
Provider Name: COOPER SURGICAL ASSCOCIATES
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
3 COOPER PLZ
SUITE 411
CAMDEN, NJ
ZIP 08103
Phone: (856) 342-3250
Get Directions

COOPER SURGICAL ASSCOCIATES is a pediatric surgery surgery in Camden, NJ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. COOPER SURGICAL ASSCOCIATES NPI is 1649463696. 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 411
CAMDEN, NJ
ZIP 08103-438
Phone: (856) 342-3250

The provider's authorized official is Robert Mcmullen .
The authorized official title is Evp - Managed Care and has the following contact phone number (856) 968-7263.

The enumeration date for this NPI number is 8/23/2007 and was last updated on 8/23/2007.

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	2086S0120X	Surgery	Pediatric 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	2843948000	OTHER	NEW JERSEY	AMERIHEALTH/KEYSTONE/IBC
2	2865807	MEDICAID	NEW JERSEY
3	119694	MEDICARE OSCAR/CERTIFICATION	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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