Individual provider · NPI-1

Dr. Ross Cooperman, M.D.

Surgery, Plastic and Reconstructive Surgery · Livingston, NJ

NPI number1407054109
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1407054109
Entity type
Individual (NPI-1)
Name
Dr. Ross Cooperman
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 5, 2007
Certification date
Aug 5, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery25MA08737800NJYes
208200000X Plastic Surgery25MA08737800NJ
2086S0122X Surgery, Plastic and Reconstructive Surgery25MA08737500NJ
2086S0122X Surgery, Plastic and Reconstructive Surgery41447KY

Practice location

200 South Orange Ave
Suite 155
Livingston, NJ 07039

Phone 973-994-2021 · Fax 973-488-7156

Mailing address

200 S Orange Ave Ste 155
Livingston, NJ 07039-5817

Phone 973-994-2021 · Fax 973-488-7156

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