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Organization
VILLAGE SHIRES FAMILY MEDICINE
Active
Organization
VILLAGE SHIRES FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT COHEN MD (OWNER)
(215) 497-1001
Entity
Organization
Contact information
Practice address
1496 BUCK RD STE A6, HOLLAND, PA 18966-2626
(215) 497-1001
Mailing address
1496 BUCK RD STE A6, HOLLAND, PA 18966-2626
(215) 497-1001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008256L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1590387
—
PA
01
—
1795896
HORIZON
—
01
—
2015082
AETNA
—
01
—
2637013000
PERSONAL CHOICE
—
01
—
2637013001
KEYSTONE
—
01
—
3000425
KEYSTONE MERCY
—
01
—
590387
AMERICHOICE
—
Enumeration date
05/22/2007
Last updated
10/22/2009
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