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NPI 1073551800

NPI 1073551800 : BARRY A. COHEN M.D. : FAIRFIELD, NJ

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General NPI Number Information
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    NPI Number           |    1073551800
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    Entity Type          |    Individual 
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    Provider Name        |    BARRY A. COHEN M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/03/2006
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    Last Update Date     |    09/28/2015
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Provider Practice Location Address
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    Address Line         |    695 US HIGHWAY 46 SUITE 400A
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    City                 |    FAIRFIELD
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    State                |    NJ
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    Zip                  |    07004-1592
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    Country              |    US
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    Telephone            |    973-826-8080
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    Fax                  |    866-309-3354
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Provider Business Mailing Address
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    Address Line         |    PO BOX 4059 
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    City                 |    WAYNE
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    State                |    NJ
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    Zip                  |    07474-4059
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    Country              |    US
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    Telephone            |    973-826-8285
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    Fax                  |    855-834-5436
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    MA0291500
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    207VG0400X
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    Taxonomy Name        |    Gynecology Physician
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    License Number       |    25MA02915000
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    ME119433
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    25MA02915000
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    License Number State |    NJ
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Taxonomy #5
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    125434
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    License Number State |    NY
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