Cooper Primary Care at Pennsville, PA

NPI #1801803051 in Pennsville, New Jersey

Provider Information

NPI Number: 1801803051
Entity Type: Organization
Organization Name: Cooper Primary Care at Pennsville, PA
Primary Specialty: Internal Medicine
Enumeration Date: Aug 1, 2006
Last Updated: Jul 27, 2016

Practice Location

Address: 390 NORTH BROAD STREET
Address 2: CONCORD PROFESSIONAL BUILDING, STE 100
City: Pennsville
State: New Jersey
ZIP Code: 08070
Phone: (856) 678-6411

Authorized Official

Name: ANTHONY J. MAZZARELLI, M.D.
Title: CHIEF MEDICAL OFFICE
Phone: (856) 968-7858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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