Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA10548000 | NJ |
NPI | 1184042772 |
---|---|
Provider Name | Dara Cohn |
First Address | Haddonfield, NJ 08033-2344 |
Second Address | Haddonfield, NJ 08033-2344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 07/08/2019 |