MEDICARE: HARVEY COOPER MD

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	207RH0003X	Hematology & Oncology Physician	MAO18558	NJ

General Provider Information

NPI Number	:	1932193521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARVEY COOPER MD

Provider Business Mailing Address
First Line	:	220 HAMBURG TPKE
Second Line	:	STE G3
City	:	WAYNE
State	:	NJ
Zip	:	07470-2110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 HAMBURG TPKE
Second Line	:	STE G3
City	:	WAYNE
State	:	NJ
Zip	:	07470-2110
Country	:	US
Telephone Number	:	973-942-0040
Fax Number	:	973-942-4741

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

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	07/08/2007

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Directions to “ HARVEY COOPER MD” Practice Location

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