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NPI Code Detail

MEDICARE: DR. STEVEN MICHAEL COHEN DMD, MSD

MEDICARE:  DR. STEVEN MICHAEL COHEN  DMD, MSD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry028222LPA

General Provider Information

NPI Number : 1548280654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MICHAEL COHEN DMD, MSD
Provider Business Mailing Address
First Line : 2517 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-4309
Country : US
Telephone Number : 215-271-8870
Fax Number :
Provider Business Practice Location Address
First Line : 2517 S BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-4309
Country : US
Telephone Number : 215-271-8870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEVEN MICHAEL COHEN DMD, MSD” Practice Location

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