Cooper Pediatric Specialist

LBN: Cooper Pediatric Specialist
Cooper Pediatric Specialist is an health care organization with primary practice located at 6400 Main St , Voorhees NJ 08043-4606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, which is considered as the primary health care specialty. Cooper Pediatric Specialist can be contacted via phone (856) 751-9339, or through Mcmullen, Robert via phone (856) 342-7263.

Contact Information

Primary practice address
6400 Main St Voorhees NJ 08043-4606
Phone: (856) 751-9339
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmullen, Robert
Phone: (856) 342-7263

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X

Profile Details

NPI number 1972634129
LBN Legal business name Cooper Pediatric Specialist
DBA Doing business as
Authorized official Mcmullen, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972634129 NPPES
New Jersey MEDICAID 9024603
New Jersey Other 2123898000

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