=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801887856
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HARRIS B COHEN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/31/2005
-----------------------------------------------------
Last Update Date | 05/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 201 GIBRALTAR RD STE 201
-----------------------------------------------------
City | HORSHAM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19044-2329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-675-1516
-----------------------------------------------------
Fax | 215-675-9176
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 201 GIBRALTAR RD STE 201
-----------------------------------------------------
City | HORSHAM
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19044-2329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-675-1516
-----------------------------------------------------
Fax | 215-675-9176
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | MD-420052
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------