MEDICARE: DR. MARK CHRISTOPHER COX PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	355I00268200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932177987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK CHRISTOPHER COX PHD

Provider Business Mailing Address
First Line	:	1043-B N MAIN ST
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071
Country	:	US
Telephone Number	:	856-582-0052
Fax Number	:	856-582-1502

Provider Business Practice Location Address
First Line	:	1043-B N MAIN ST
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071
Country	:	US
Telephone Number	:	856-582-0052
Fax Number	:	856-582-1502

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	07/10/2007

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