Organization · NPI-2

Cooper Surgical Associates, PA

Surgery · Camden, NJ

NPI number1649217514
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1649217514
Entity type
Organization (NPI-2)
Legal business name
Cooper Surgical Associates, PA
Organization subpart
No
Enumeration date
Jun 1, 2006
Certification date
Sep 10, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery–NJYes
204E00000X Oral & Maxillofacial Surgery––
207NS0135X Dermatology, Procedural Dermatology––
207T00000X Neurological Surgery––
207X00000X Orthopaedic Surgery––
207Y00000X Otolaryngology––
208200000X Plastic Surgery––
208600000X Surgery––
208C00000X Colon & Rectal Surgery––
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)––

Practice location

3 Cooper Plz
Suite 411
Camden, NJ 08103-1438

Phone 856-342-3321 · Fax 856-968-8611

Mailing address

1 Federal Street
Sw-200
Camden, NJ 08103-1155

Phone 856-356-4924 · Fax 856-382-6455

Authorized official

Anthony J. Mazzerelli
Chief Medical Office
8569687858

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