Individual
BENJAMIN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 THIRD AVENUE, SUITE 603, LONG BRANCH, NJ 07740-6205
(732) 222-8323
(732) 870-9488
Mailing address
PO BOX 18751, NEWARK, NJ 07191-8751
(732) 222-8323
(732) 870-9488
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA06221000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547722
AETNA
NJ
01
—
0796887000
AMERIHEALTH
NJ
01
—
5715271
GHI
NJ
01
—
92F391
BC/BS
NJ
01
—
J20028
PHS NON-PAR
NJ
Enumeration date
10/21/2005
Last updated
09/11/2008
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