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Contact Information

COOPER PEDIATRIC SPECIALISTS
3 COOPER PLZ
SUITE 200
CAMDEN, NJ08103-1438
 Phone: 856-342-2001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Clinical Genetics (M.D.)

207SG0201X
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COOPER PEDIATRIC SPECIALISTS

NPI # 1497888689
LBN Legal business name COOPER PEDIATRIC SPECIALISTS
Authorized official ROBERT MCMULLEN - (EVP MANAGED CARE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/14/2007
Last updated 08/30/2007 - About 19 years ago
Identifiers
NJ Medicaid 9024603
Other 2125255000 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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