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General NPI Number Information
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NPI Number | 1912021445
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Entity Type | Individual
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Provider Name | JOEL PHILIP COHEN OD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3512 EASTERN AVE
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City | BALTIMORE
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State | MD
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Zip | 21224-4123
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Country | US
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Telephone | 410-675-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 24 ROMNEY CT
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City | OWINGS MILLS
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State | MD
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Zip | 21117-1265
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Country | US
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Telephone | 410-675-2275
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | MD0639
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License Number State | MD
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