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Individual

MR. ROBERT MARK COHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
642 NORTH BROAD STREET, PHILADELPHIA, PA 19130
(215) 765-9000
(215) 282-6609
Mailing address
642 NORTH BROAD STREET, PHILADELPHIA, PA 19130
(215) 765-9000
(215) 282-6609

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101529424001
PA
Enumeration date
05/22/2007
Last updated
07/08/2007
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