| Cooper Family Medicine Pc | |
|
603 N Broad St Woodbury NJ 08096-1619 | |
| (856) 845-7200 | |
| (856) 845-9898 |
| Full Name | Cooper Family Medicine Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 603 N Broad St, Woodbury, New Jersey |
| Authorized Official Name and Position | Robert Mcmullen (EVP MANAGED CARE) |
| Authorized Official Contact | 8563422921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 603 N Broad St Woodbury NJ 08096-1619 Ph: (856) 845-7200 |
| NPI Number | 1568665594 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 05/13/2008 |
| Medicare PECOS PAC ID | 4284530197 |
|---|---|
| Medicare Enrollment ID | O20080417000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568665594 | NPI | - | NPPES |
| 0807066001 | Other | NJ | AMERIHEALTH GROUP # |
| 6558101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Danielle S Nordone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699765354 PECOS PAC ID: 6204859481 Enrollment ID: I20080819000118 |
| Provider Name | Jessica E Horvath-matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740357953 PECOS PAC ID: 6709986862 Enrollment ID: I20090602000238 |
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