| Cooper Family Medicine Pc | |
|
1001 Lincoln Dr W Ste F Marlton NJ 08053-1534 | |
| (856) 810-1800 | |
| (856) 810-1879 |
| Full Name | Cooper Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 Lincoln Dr W Ste F, Marlton, New Jersey |
| Authorized Official Name and Position | Robert Mcmullen (EVP MANAGED CARE) |
| Authorized Official Contact | 8563422921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooper Family Medicine Pc 3 Cooper Plz Suite 502 Camden NJ 08103-1438 Ph: (856) 342-2921 | Cooper Family Medicine Pc 1001 Lincoln Dr W Ste F Marlton NJ 08053-1534 Ph: (856) 810-1800 |
| NPI Number | 1467655902 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467655902 | NPI | - | NPPES |
| 0790979001 | Other | NJ | AMERIHEALTH GRP# |
| 6558101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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