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General NPI Number Information
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NPI Number | 1053619825
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Entity Type | Organization
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Legal Business Name | JOEL S COHEN M.D. P.A.
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 315 LENOX AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2137
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Country | US
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Telephone | 908-654-5577
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Fax | 908-654-4178
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Provider Business Mailing Address
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Address Line | 315 LENOX AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2137
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Country | US
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Telephone | 908-654-5577
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Fax | 908-654-4178
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL S COHEN
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Credential | M.D.
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Telephone | 908-654-5577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 00MAO2915100
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License Number State | NJ
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