Provider Demographics
NPI:1205912128
Name:MUNOZ, RAUL (MD)
Entity type:Individual
Prefix:
First Name:RAUL
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:
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:856-342-2919
Practice Address - Fax:856-968-8239
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53356207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1547269OtherUNITED HEALTHCARE
NJ38949OtherUNIVERSITY HEALTH PLAN
NJ60004522OtherHORIZON NJ HEALTH
NJ1164185OtherHORIZON NJ HEALTH
NJ738606OtherAMERIHEALTH PPO/PA BS
NJ010002994OtherAMERICHOICE
NJ3360793OtherAETNA
NJ0642615000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3360200OtherAETNA
NJ4007701Medicaid
NJ4007701Medicaid
E53574Medicare UPIN
NJ60004522OtherHORIZON NJ HEALTH