Provider Demographics
NPI:1760927206
Name:COOPER HEALTH SYSTEM
Entity Type:Organization
Organization Name:COOPER HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENETIC COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:SCARANO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCGC
Authorized Official - Phone:856-968-7246
Mailing Address - Street 1:3 COOPER PLZ RM 300
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7246
Mailing Address - Fax:856-541-6213
Practice Address - Street 1:3 COOPER PLAZA.
Practice Address - Street 2:SUITE 300
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-968-7246
Practice Address - Fax:856-541-6213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00017800282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital