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General NPI Number Information
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NPI Number | 1396894606
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Entity Type | Organization
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Legal Business Name | PAUL A COHEN DDS
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6808 FRANKFORD AVE
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City | PHILA
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State | PA
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Zip | 19135
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Country | US
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Telephone | 215-624-7418
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Fax | 215-624-5499
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Provider Business Mailing Address
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Address Line | 6808 FRANKFORD AVE
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City | PHILA
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State | PA
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Zip | 19135
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Country | US
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Telephone | 215-624-7418
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Fax | 215-624-5499
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | DR. PAUL A COHEN
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Credential |
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Telephone | 215-624-7418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS018840L
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License Number State | PA
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