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General NPI Number Information
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NPI Number | 1124052295
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Entity Type | Individual
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Provider Name | MARC ALAN COHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 221 MADISON AVE.
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City | MORRISTOWN
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State | NJ
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Zip | 07960
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Country | US
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Telephone | 973-538-4444
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Fax | 973-538-0420
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Provider Business Mailing Address
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Address Line | P.O. BOX 297
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City | CEDAR KNOLLS
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State | NJ
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Zip | 07927
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Country | US
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Telephone | 973-538-4444
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Fax | 973-538-0420
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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 | MA50155
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License Number State | NJ
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