| Edward W Cooner, | |
|
400 Grove Rd, Thorofare, NJ 08086-0037 | |
| (856) 845-8010 | |
| (856) 845-9398 |
| Full Name | Edward W Cooner |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 32 Years |
| Location | 400 Grove Rd, Thorofare, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700985736 | NPI | - | NPPES |
| 7259204 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA6550700 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Duke Home Health | Durham, NC | Home health agency |
| Pruitthealth At Home - Wake | Raleigh, NC | Home health agency |
| Duke University Hospital | Durham, NC | Hospital |
| Duke Regional Hospital | Durham, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duke University Affiliated Physicians, Inc. | 3779489588 | 452 |
| Legacy Healthcare Services Inc | 2163339722 | 3431 |
| Entity Name | Duke University Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward W Cooner, 400 Grove Rd, Po Box 37, Thorofare, NJ 08086-0037 Ph: (856) 845-8010 | Edward W Cooner, 400 Grove Rd, Thorofare, NJ 08086-0037 Ph: (856) 845-8010 |
David A Laskin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Grove Rd, Thorofare, NJ 08086 Phone: 856-845-8010 Fax: 856-845-9398 |