Individual
DOUGLAS J COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 ARK RD, STE 206 LMC I, MOUNT LAUREL, NJ 08054-3100
(856) 778-4640
(856) 778-8862
Mailing address
204 ARK RD, STE 206 LMC I, MOUNT LAUREL, NJ 08054-3100
(856) 778-4640
(856) 778-8862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA03715200
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA03715200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0262005
—
NJ
Enumeration date
12/14/2005
Last updated
03/16/2010
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