Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 25MS00017500 | NJ |
NPI | 1821455650 |
---|---|
Provider Name | Daniel Ricardo Cohen |
First Address | Ramsey, NJ 07446-1367 |
Second Address | Ramsey, NJ 07446-1367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2016 |
Last Update Date | 25/01/2016 |