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Individual
PHILLIP MARC COHEN
Active
Individual
PHILLIP MARC COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1078
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097988100
—
MD
01
—
1104912344
NPI - INDIVIDUAL
MD
01
—
1134271505
NPI- GROUP
MD
01
—
K603
MEDICARE PTAN
MD
Enumeration date
10/05/2006
Last updated
03/18/2010
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