Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MD065025L | PA |
NPI | 1619206992 |
---|---|
Provider Name | Dr. Christopher J Cohen |
First Address | Bridgeport, PA 19405-1327 |
Second Address | King Of Prussia, PA 19406-2772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 15/12/2009 |