MEDICARE: KATARINA COHEN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	2197000	NJ

General Provider Information

NPI Number	:	1548462559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATARINA COHEN DDS

Provider Business Mailing Address
First Line	:	8 ARBOR LN
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-2037
Country	:	US
Telephone Number	:	917-519-4339
Fax Number	:

Provider Business Practice Location Address
First Line	:	2240 STATE ROUTE 33 STE 14
Second Line	:
City	:	NEPTUNE CITY
State	:	NJ
Zip	:	07753-6104
Country	:	US
Telephone Number	:	732-455-8202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	09/13/2023

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