Cooper Family Medicine - Marlton

NPI 1003958927 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1003958927
Enumeration Date 02/14/2007
Last Updated 10/17/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNY KENNY
Position SR. DIRECTOR OF OPERATIONS
Phone (856) 810-1800
Fax
Practice Location
1001 LINCOLN DR W STE F
MARLTON NJ, 08053-1534, US
Phone (856) 810-1800
Fax
Business Location
5626 OBERLIN DR
SUITE 110
SAN DIEGO CA, 92121-1705, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State New Jersey
License Number 25MB05967900
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According to our database, Cooper Family Medicine - Marlton NPI is 1003958927, taxonomy code is 332900000X and license number is 25MB05967900, license state is located at New Jersey. Cooper Family Medicine - Marlton physically located at 1001 Lincoln Dr W Ste F, Marlton NJ, 08053-1534. NPI Number 1033115704 has the healthcare provider type.

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1003958927 NPI number is provided on an as is basis without warranty of any kind. 1003958927 is maintained by the National Plan & Provider Enumeration System. The contents of Cooper Family Medicine - Marlton are for informational purposes only.