Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | O5006774E | PA |
NPI | 1003992876 |
---|---|
Provider Name | Dr. Randy A Cohen |
First Address | Lancaster, PA 17603-9697 |
Second Address | Lancaster, PA 17601-4670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 30/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E30606 | (02) | PA |