Provider Demographics
NPI:1326346834
Name:COOPER UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:COOPER UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:EDITH
Authorized Official - Last Name:CONTRERAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-826-0259
Mailing Address - Street 1:2141 ROUTE 38
Mailing Address - Street 2:APARTMENT 906
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4202
Mailing Address - Country:US
Mailing Address - Phone:914-826-0259
Mailing Address - Fax:856-330-4074
Practice Address - Street 1:2141 ROUTE 38
Practice Address - Street 2:APARTMENT 906
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-4202
Practice Address - Country:US
Practice Address - Phone:914-826-0259
Practice Address - Fax:856-330-4074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren