Cooper Family Medicine Pc

LBN: Cooper Family Medicine Pc
Cooper Family Medicine Pc is an health care organization with primary practice located at 1001 Lincoln Dr W Ste F , Marlton NJ 08053-1534. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Cooper Family Medicine Pc can be contacted via phone (856) 810-1800, or through Mcmullen, Robert via phone (856) 342-2921.

Contact Information

Primary practice address
1001 Lincoln Dr W Ste F Marlton NJ 08053-1534
Fax: (856) 810-1879
Website:
Authorized official contact:
Name: Mcmullen, Robert

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1467655902
LBN Legal business name Cooper Family Medicine Pc
DBA Doing business as
Authorized official Mcmullen, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2007
Last updated May 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467655902 NPPES
New Jersey Other 0790979001 AMERIHEALTH GRP#
New Jersey MEDICAID 6558101 AMERIHEALTH GRP#

Popular Providers