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Organization
PODIATRIC SURGICAL ASSOCIATION OF CENTRAL JERSEY PA
Active
Organization
PODIATRIC SURGICAL ASSOCIATION OF CENTRAL JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY COHEN DPM (PRESIDENT)
(908) 730-8881
Entity
Organization
Contact information
Practice address
122 W MAIN ST, CLINTON, NJ 08809-1272
(908) 730-8881
(908) 730-6465
Mailing address
122 W MAIN ST, CLINTON, NJ 08809-1272
(908) 730-8881
(908) 730-6465
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00119800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099717000
AMERIHEALTH
—
01
—
110887
CHN
—
01
—
489684
UNITED HEALTHCARE
—
01
—
F03784
HEALTHNET
—
01
—
P00195654
RAILROAD MEDICARE
—
01
—
TS133
OXFORD
—
Enumeration date
01/24/2006
Last updated
02/26/2008
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