MEDICARE: DR. NORMAN H. COOPERSMITH M.D.

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD 8033 E	PA

General Provider Information

NPI Number	:	1194065409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NORMAN H. COOPERSMITH M.D.

Provider Business Mailing Address
First Line	:	304 CRANBERRY DR
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 CRANBERRY DR
Second Line	:
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-3019
Country	:	US
Telephone Number	:	215-947-7631
Fax Number	:	215-947-2868

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

Provider Enumeration Date	:	02/22/2013
Last Update Date	:	02/22/2013

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