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Contact Information

COOPER PEDIATRIC SPECIALIST
6400 MAIN ST
VOORHEES TOWNSHIP, NJ08043-4606
 Phone: 856-751-9339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COOPER PEDIATRIC SPECIALIST · (Female)

NPI Number 1972634129
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 9024603
  • NJ Other 2123898000 AMERIHEALTH GRP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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