Healthcare Provider Details

I. General information

NPI: 1326159807
Provider Name (Legal Business Name): ROBERT K COHEN DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 W LANCASTER AVE STE 220
PAOLI PA
19301
US

IV. Provider business mailing address

250 W LANCASTER AVE STE 225
PAOLI PA
19301-1762
US

V. Phone/Fax

Practice location:
  • Phone: 610-647-0400
  • Fax: 610-578-9590
Mailing address:
  • Phone: 610-647-0400
  • Fax: 610-578-9590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC004348L
License Number StatePA

VIII. Authorized Official

Name: ROBERT KENNETH COHEN
Title or Position: PRESIDENT
Credential: DPM
Phone: 610-647-0400