Basic Information
| Provider Information | |||||||||
| NPI: | 1518916139 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SEABRON RAMBERT | ||||||||
| FirstName: | CHERYL | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | SEABRON | ||||||||
| OtherFirstName: | CHERYL | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569687433 | ||||||||
| FaxNumber: | 8569688499 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 COOPER PLZ | ||||||||
| Address2: | COOPER ANESTHESIA ASSOCIATES | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031461 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563422425 | ||||||||
| FaxNumber: | 8569682839 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2006 | ||||||||
| LastUpdateDate: | 06/25/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MA06284600 | NJ | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP2900X | MA06284600 | NJ | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 001007593 | 01 | NJ | AMEICHOICE | OTHER | 2816893 | 01 | NJ | UNITED HEALTHCARE | OTHER | 18831 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER | P00324091 | 01 | NJ | RR MEDICARE | OTHER | P3722603 | 01 | NJ | OXFORD | OTHER | 0704282000 | 01 | NJ | AMERIHEALTH/KEYSTONE/IBC | OTHER | 1169675 | 01 | NJ | AETNA | OTHER | 761028 | 01 | NJ | AMERIHEALTH PPO/PA BS | OTHER | 1755466 | 01 | NJ | CIGNA | OTHER | 1169677 | 01 | NJ | AETNA | OTHER | 60022243 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 7377703 | 05 | NJ | MEDICAID |