Healthcare Provider Details
I. General information
NPI: 1316184872
Provider Name (Legal Business Name): ARTHUR M. COHEN, DC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2009
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 PACIFIC AVE
PLEASANTVILLE NJ
08232-1424
US
IV. Provider business mailing address
2 PACIFIC AVE
PLEASANTVILLE NJ
08232-1424
US
V. Phone/Fax
- Phone: 609-569-1776
- Fax: 609-407-2122
- Phone: 609-569-1776
- Fax: 609-407-2122
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | MC004357 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
ARTHUR
MICHAEL
COHEN
Title or Position: OWNER, CHIROPRACTOR
Credential: D.C.
Phone: 609-569-1776