| Cooper Pediatric Specialists | |
|
110 Marter Ave Suite 402 Moorestown NJ 08057-3124 | |
| (856) 722-9551 | |
| Not Available |
| Full Name | Cooper Pediatric Specialists |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 110 Marter Ave, Moorestown, New Jersey |
| Authorized Official Name and Position | Robert Mcmullen (EVP MANAGED CARE) |
| Authorized Official Contact | 8563427263 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Pediatric Specialists 3 Cooper Plz Suite 502 Camden NJ 08103-1438 Ph: (856) 968-7433 | Cooper Pediatric Specialists 110 Marter Ave Suite 402 Moorestown NJ 08057-3124 Ph: (856) 722-9551 |
| NPI Number | 1942334610 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942334610 | NPI | - | NPPES |
| 2126166000 | Other | AMERIHEALTH GRP NUMBER | |
| 9024603 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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