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Contact Information

COOPER PEDIATRIC SPECIALIST
3 COOPER PLZ
SUITE 200
CAMDEN, NJ08103-1438
 Phone: 856-342-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COOPER PEDIATRIC SPECIALIST

NPI Number 1770616153
LBN Legal business name COOPER PEDIATRIC SPECIALIST
Authorized official ROBERT MCMULLEN - (EVP MANAGED CARE)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NJ Medicaid 9024603
Other 2125254000 AMERIHEALTH GRP NUMBER
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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