Individual
DR. LARRY J. COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 JAMES ST, STE 313, EDISON, NJ 08820-3902
(732) 635-0916
(732) 494-4907
Mailing address
98 JAMES ST, SUITE 313, EDISON, NJ 08820-3902
(732) 635-0916
(732) 494-4907
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04122700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1653806
—
NJ
Enumeration date
06/23/2005
Last updated
10/09/2013
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