Active NPIOrganization

Cooper Family Medicine - Marlton

Non-Pharmacy Dispensing Site in Marlton, New Jersey

NPI Number1003958927
Practice location
1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534
Fax
—
Last updated
October 17, 2012

Cooper Family Medicine - Marlton is a healthcare organization based in Marlton, NJ. Cooper Family Medicine - Marlton practices in Marlton, NJ. The NPI Number for Cooper Family Medicine - Marlton is 1003958927 and holds a License No. 25MB05967900 (NJ). The current practice location address for Cooper Family Medicine - Marlton is 1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534 and can be reached out via phone at 856-810-1800.

Provider Profile Details

NPI Number
1003958927
Provider Name
Cooper Family Medicine - Marlton
Provider Entity Type
Organization
Address
1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534
Phone Number
856-810-1800
Primary Taxonomy
Non-Pharmacy Dispensing Site · 332900000X
Organization Subpart
Yes
Parent Organization
Medvantx, INC.
Authorized Official
Kenny Heine · Sr. Director Of Operations · 858-625-2990
Provider Enumeration Date
February 14, 2007
Last Update Date
October 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1001 Lincoln Dr W Ste F
Marlton, NJ 08053-1534
Zip
08053-1534
Phone Number
856-810-1800
Marlton, NJ 08053Get directions →

Provider Business Mailing Address Details

Address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
City
San Diego
State
CA
Zip
92121-1705

License Information

License Number
25MB05967900
License State
NJ
Taxonomy
Non-Pharmacy Dispensing Site · 332900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cooper Family Medicine - Marlton?

The NPI number of Cooper Family Medicine - Marlton is 1003958927. It was assigned on February 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Cooper Family Medicine - Marlton?

Cooper Family Medicine - Marlton is registered under the primary taxonomy Non-Pharmacy Dispensing Site (code 332900000X), licensed in NJ under license number 25MB05967900.

Where does Cooper Family Medicine - Marlton practice?

The practice location is 1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534. The office can be reached at 856-810-1800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003958927 directly on the NPPES registry website.

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