Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MA29151 | NJ |
NPI | 1053352385 |
---|---|
Provider Name | Dr. Joel Stephen Cohen |
First Address | Westfield, NJ 07090-2137 |
Second Address | Westfield, NJ 07090-2137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F13447 | (02) | NJ |