Individual
PHILLIP MARC COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2208 OLD EMMORTON RD, SUITE 101, BEL AIR, MD 21015-8909
(410) 515-7800
(410) 515-7805
Mailing address
2208 OLD EMMORTON RD, SUITE 101, BEL AIR, MD 21015-8909
(410) 515-7800
(410) 515-7805
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1078
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097988100
—
MD
01
—
1104912344
NPI - INDIVIDUAL
MD
01
—
1134271505
NPI- GROUP
MD
01
—
K603
MEDICARE PTAN
MD
Enumeration date
10/05/2006
Last updated
03/18/2010
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