Healthcare Provider Details

I. General information

NPI: 1447646260
Provider Name (Legal Business Name): ZACHARY COHN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ZACHARY J COHN MD

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 07/27/2021
Certification Date: 07/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 W GERMANTOWN PIKE STE 280
EAST NORRITON PA
19403-4243
US

IV. Provider business mailing address

101 E OLNEY AVE STE 400
PHILADELPHIA PA
19120-2470
US

V. Phone/Fax

Practice location:
  • Phone: 484-622-7440
  • Fax: 484-622-7455
Mailing address:
  • Phone: 215-456-1825
  • Fax: 215-456-5926

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD473572
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: