Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 46534 | MA |
NPI | 1093948606 |
---|---|
Provider Name | Lewis J Cohen |
First Address | Basking Ridge, NJ 07920-4242 |
Second Address | Basking Ridge, NJ 07920-4242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2009 |
Last Update Date | 30/08/2009 |