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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

NPI Number 1972634129
LBN Legal business name COOPER PEDIATRIC SPECIALIST
Authorized official ROBERT MCMULLEN - (EVP MANGED CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ Medicaid 9024603
NJ Other 2123898000 AMERIHEALTH GRP #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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