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General NPI Number Information
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NPI Number | 1487595401
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Entity Type | Organization
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Legal Business Name | COOPER SURGICAL ASSOCIATES, PA
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 400 W ROUTE 38 LOWER LEVEL 1
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City | MOORESTOWN
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State | NJ
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Zip | 08057-3219
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Country | US
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Telephone | 856-437-3799
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Fax | 856-412-5381
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 856-356-4920
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Fax | 856-382-6455
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | ANTHONY JOSEPH MAZZARELLI
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Credential |
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Telephone | 856-968-7858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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