Provider Demographics
NPI:1902982820
Name:MOOKERJEE, ANURADHA L (MD)
Entity Type:Individual
Prefix:
First Name:ANURADHA
Middle Name:L
Last Name:MOOKERJEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 COOPER PLZ
Mailing Address - Street 2:THE COOPER HOSPITALIST TEAM
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1461
Mailing Address - Country:US
Mailing Address - Phone:856-342-3150
Mailing Address - Fax:856-968-8418
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:THE COOPER HOSPITALIST TEAM
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3150
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA0737863207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2281731OtherUNITED HEALTHCARE
3K6190OtherHEALTHNET
3627227OtherAETNA
NJ9021809Medicaid
010005523OtherAMERICHOICE
P2754166OtherOXFORD
39094OtherUNIVERSITY HEALTHPLAN
4553070OtherCIGNA
2206998000OtherAMERIHEALTH, KEYSTONE, IBC
P2754166OtherOXFORD
NJ9021809Medicaid