Physician Compare National (NPI:1043461908)

HEALTHCARE PROVIDER: HENRY JOSEPH DOLCH JR. D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043461908
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739205725
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130520000386
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOLCH
	Individual professional last name
Provider First Name	HENRY
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	ORTHOPEDIC SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	COOPER SURGICAL ASSOCIATES, PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3274430764
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	145
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2 COOPER PLZ
	Group Practice or individual's line 1 address
City	CAMDEN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	081031461
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8563422270
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	310014
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COOPER UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y