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NPI Code Detail

MEDICARE: DR. JOHN H COOPER DO

MEDICARE: DR. JOHN H COOPER DO
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
12086S0129XVascular Surgery Physician25MB07722600NJ
22086S0129XVascular Surgery PhysicianMB07722600NJ
32086S0129XVascular Surgery PhysicianOS025507PA
4208600000XSurgery PhysicianMB07722600NJ

General Provider Information

NPI Number : 1528038130
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN H COOPER DO
Provider Business Mailing Address
First Line : 301 CENTRAL AVE STE D
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-8347
Country : US
Telephone Number : 609-926-5000
Fax Number : 609-926-2020
Provider Business Practice Location Address
First Line : 301 CENTRAL AVE STE D
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-8347
Country : US
Telephone Number : 609-926-5000
Fax Number : 609-926-2020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 03/05/2026

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