Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MA47165 | NJ |
NPI | 1023070935 |
---|---|
Provider Name | Dr. Alan Cohen |
First Address | Long Branch, NJ 07740 |
Second Address | Howell, NJ 07731-2170 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 04/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0849006 | (05) | NJ |