MEDICARE: DANIEL COHEN

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	213ES0131X	Foot Surgery Podiatrist	SC-004779-R	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	480032452	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1912940883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL COHEN

Provider Business Mailing Address
First Line	:	1500 HORIZON DR
Second Line	:	SUITE 106
City	:	CHALFONT
State	:	PA
Zip	:	18914-3966
Country	:	US
Telephone Number	:	215-997-3668
Fax Number	:	215-997-0992

Provider Business Practice Location Address
First Line	:	1500 HORIZON DR
Second Line	:	SUITE 106
City	:	CHALFONT
State	:	PA
Zip	:	18914-3966
Country	:	US
Telephone Number	:	215-997-3668
Fax Number	:	215-997-0992

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	06/30/2010

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Directions to “ DANIEL COHEN ” Practice Location

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