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Individual

JACOB FRANKLIN COGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 N FRANKLIN BLVD, 2ND FLOOR, PLEASANTVILLE, NJ 08232-2547
(215) 481-2725
Mailing address
22 N FRANKLIN BLVD, FIRST FLOOR, PLEASANTVILLE, NJ 08232-2547
(609) 272-9040
(609) 272-9055

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08626400
NJ
207Q00000X
Family Medicine Physician
MT189723
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0215571
NJ
Enumeration date
06/08/2008
Last updated
11/01/2011
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