Provider Demographics
NPI:1265474761
Name:COOPER INSTITUTE FOR REPRODUCTIVE & HORMONAL DISORDERS, PC
Entity Type:Organization
Organization Name:COOPER INSTITUTE FOR REPRODUCTIVE & HORMONAL DISORDERS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-752-1086
Mailing Address - Street 1:7447 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-3006
Mailing Address - Country:US
Mailing Address - Phone:800-752-1086
Mailing Address - Fax:856-751-7282
Practice Address - Street 1:17000 COMMERCE PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2267
Practice Address - Country:US
Practice Address - Phone:856-751-5575
Practice Address - Fax:856-751-7289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty