| Cooper Family Medicine Pc | |
|
123 Egg Harbor Rd Building 600, Suite 604 Tower Commons Sewell NJ 08080 | |
| (856) 232-6471 | |
| (856) 232-7028 |
| Full Name | Cooper Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Egg Harbor Rd, Sewell, 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 123 Egg Harbor Rd Building 600, Suite 604 Tower Commons Sewell NJ 08080 Ph: (856) 232-6471 |
| NPI Number | 1962616763 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962616763 | NPI | - | NPPES |
| 6558101 | Medicaid | NJ | |
| 0341834001 | Other | NJ | AMERIHEALTH GRP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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