Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 25MA07789600 | NJ |
NPI | 1295839660 |
---|---|
Provider Name | Barry Alan Cohen |
First Address | Yardley, PA 19067-7309 |
Second Address | Livingston, NJ 07039-5672 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 05/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0051764 | (05) | NJ |
E30143 | (02) |