Individual
BARRY A. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004-1592
(973) 826-8080
(866) 309-3354
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 826-8285
(855) 834-5436
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA0291500
NJ
207VG0400X
Gynecology Physician
25MA02915000
NJ
208600000X
Surgery Physician
125434
NY
208600000X
Surgery Physician
Primary
25MA02915000
NJ
208600000X
Surgery Physician
ME119433
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0543004
CIGNA
NJ
05
—
0660302
—
NJ
01
—
146573YP69
GRP PTAN QUALITY SURGICAL SERVICES LLC
NJ
01
—
275286YP69
BAC MCARE PIN
NJ
01
—
3740947000
AMERIHEALTH
NJ
01
—
P3942465
OXFORD HEALTHCARE
NJ
Enumeration date
06/03/2006
Last updated
09/28/2015
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