Healthcare Provider Details

I. General information

NPI: 1285571554
Provider Name (Legal Business Name): COOPER UNIVERSITY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COOPER PLZ
CAMDEN NJ
08103-1461
US

IV. Provider business mailing address

215 DOBBS DR
SOMERDALE NJ
08083-2908
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-2403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: STERLIN LOUIS
Title or Position: PSYCHIATRY RESIDENT
Credential: DO
Phone: 786-357-4597