| Cooper Family Medicine Pc | |
|
200 College Drive Blackwood NJ 08012-3228 | |
| (856) 536-1630 | |
| (856) 536-1635 |
| Full Name | Cooper Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 College Drive, Blackwood, New Jersey |
| Authorized Official Name and Position | Anthony Mazzarelli (CMO) |
| Authorized Official Contact | 8569687858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Family Medicine Pc 1 Federal Street Suite Sw200 Camden NJ 08103-1155 Ph: (856) 356-4920 | Cooper Family Medicine Pc 200 College Drive Blackwood NJ 08012-3228 Ph: (856) 536-1630 |
| NPI Number | 1508229790 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Medicare PECOS PAC ID | 4284530197 |
|---|---|
| Medicare Enrollment ID | O20160609000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508229790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mary Willard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336138007 PECOS PAC ID: 1850387135 Enrollment ID: I20040422000419 |
| Provider Name | Nirandra Mahamitra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669663217 PECOS PAC ID: 1850485236 Enrollment ID: I20070920000781 |
| Provider Name | Bennett Shenker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427082429 PECOS PAC ID: 6709892169 Enrollment ID: I20080919000374 |
| Provider Name | Laurie L Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104018431 PECOS PAC ID: 9537224704 Enrollment ID: I20090223000450 |
| Provider Name | Stephanie M Tonetta-stanker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588735963 PECOS PAC ID: 3678627619 Enrollment ID: I20090811000130 |
| Provider Name | Camille Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093865115 PECOS PAC ID: 8426172644 Enrollment ID: I20150204001131 |
| Provider Name | Allen Clowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386624427 PECOS PAC ID: 0941309256 Enrollment ID: I20160111000154 |
| Provider Name | Sarah A Abdelsayed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093065138 PECOS PAC ID: 9032346622 Enrollment ID: I20160929000105 |
| Provider Name | Alycia Anne Trossen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710249891 PECOS PAC ID: 4385957794 Enrollment ID: I20170606002900 |
| Provider Name | Thomas John Wall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952822595 PECOS PAC ID: 7517381346 Enrollment ID: I20200727000426 |
| Provider Name | Emily Myhre |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659746196 PECOS PAC ID: 0941600787 Enrollment ID: I20210615003028 |
Recover Physical Therapy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Old Black Horse Pike Apt F9, Blackwood, NJ 08012 Phone: 910-658-3299 Fax: 856-373-5040 | |
Advocare Delgiorno Pediatric & Adult Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907 | |
Infectious Disease Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Route 168, Suite 102, Blackwood, NJ 08012 Phone: 626-348-4239 | |
South Jersey Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1504 Blackwood Clementon Rd, Blackwood, NJ 08012 Phone: 856-228-0144 Fax: 856-232-0320 |