Whalio Doctors

NPI 1003958927

Cooper Family Medicine - Marlton

Organisation Non-Pharmacy Dispensing Site Marlton, NJ

Practice location

Address
1001 Lincoln Dr W STE F, Marlton, NJ 08053-1534
Phone
(856) 810-1800
Mailing address
5626 Oberlin Dr Suite 110, San Diego, CA 92121-1705

Authorised official

Name
Kenny Heine
Title
Sr. Director of Operations
Phone
(858) 625-2990

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence 25MB05967900 (NJ)

Registry record

NPI
1003958927
Entity type
Organization
NPI issued
14 Feb 2007
Record last updated
17 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.