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NPI Code Detail

MEDICARE: DR. JEANNE PATTERSON-COHEN D.O.

MEDICARE: DR. JEANNE PATTERSON-COHEN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianOS0044180PA

General Provider Information

NPI Number : 1487790630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNE PATTERSON-COHEN D.O.
Provider Business Mailing Address
First Line : 305 CYPRESS ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-4204
Country : US
Telephone Number : 215-755-0500
Fax Number : 215-755-3561
Provider Business Practice Location Address
First Line : 1400 REED ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19146-4823
Country : US
Telephone Number : 215-755-0500
Fax Number : 215-755-3561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/08/2007

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