| Robert Despain, MD | |
|
1 Federal St Ste Sw200, Camden, NJ 08103-1155 | |
| (848) 288-6935 | |
| Not Available |
| Full Name | Robert Despain |
|---|---|
| Gender | Male |
| Speciality | Surgery - Trauma Surgery |
| Location | 1 Federal St Ste Sw200, Camden, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275928608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | D0099930 (Maryland) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | 25MA11786100 (New Jersey) | Primary |
| Entity Name | Cooper University Trauma Physicians, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790724730 PECOS PAC ID: 3678569951 Enrollment ID: O20040422000430 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Despain, MD 1 Federal St Ste Sw200, Camden, NJ 08103-1155 Ph: (848) 288-6935 | Robert Despain, MD 1 Federal St Ste Sw200, Camden, NJ 08103-1155 Ph: (848) 288-6935 |
Dr. Nicole Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3014 | |
Nasser I Youssef, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Haddon Ave # A, Camden, NJ 08103 Phone: 856-757-3840 | |
John Chovanes, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3014 | |
Alison Kaye, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
Adrian Antonio Lopez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Cooper Plz, Camden, NJ 08103 Phone: 855-632-2667 | |
Keshav Kooragayala, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
Dr. Diane Gillum, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 Phone: 855-632-2667 |