Provider Demographics
NPI:1518916139
Name:SEABRON RAMBERT, CHERYL (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:SEABRON RAMBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:SEABRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER ANESTHESIA ASSOCIATES
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2425
Practice Address - Fax:856-968-2839
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA06284600207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ001007593OtherAMEICHOICE
NJ2816893OtherUNITED HEALTHCARE
NJ18831OtherUNIVERSITY HEALTH PLAN
NJP00324091OtherRR MEDICARE
NJP3722603OtherOXFORD
NJ0704282000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1169675OtherAETNA
NJ761028OtherAMERIHEALTH PPO/PA BS
NJ1755466OtherCIGNA
NJ1169677OtherAETNA
NJ60022243OtherHORIZON NJ HEALTH
NJ7377703Medicaid
NJ761028OtherAMERIHEALTH PPO/PA BS
NJ7377703Medicaid
E86349Medicare UPIN