MEDICARE: DR. DAVID COHEN D.C.

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
1	111N00000X	Chiropractor	DC002343L	PA
2	111N00000X	Chiropractor	38MC00219800	NJ

General Provider Information

NPI Number	:	1811983828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID COHEN D.C.

Provider Business Mailing Address
First Line	:	6808 TORRESDALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2314
Country	:	US
Telephone Number	:	215-333-6444
Fax Number	:	215-333-4275

Provider Business Practice Location Address
First Line	:	6808 TORRESDALE AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19135-2314
Country	:	US
Telephone Number	:	215-333-6444
Fax Number	:	215-333-4275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. DAVID COHEN D.C.” Practice Location

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