Healthcare Provider Details

I. General information

NPI: 1114602323
Provider Name (Legal Business Name): THE COOPER HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 06/16/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W ROUTE 38
MOORESTOWN NJ
08057-3219
US

IV. Provider business mailing address

ONE COOPER PLAZA PO BOX 6037
CAMDEN NJ
08103-1461
US

V. Phone/Fax

Practice location:
  • Phone: 856-342-2000
  • Fax: 856-342-3299
Mailing address:
  • Phone: 856-342-2000
  • Fax: 856-342-3299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ABE S FELD
Title or Position: REGULATORY REIM. ADMINISTRATOR
Credential: MHA
Phone: 856-382-6503