Individual
PHILIP R COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 EUCLID AVE STE 401, NATIONAL CITY, CA 91950-2978
(619) 267-8303
(619) 267-4835
Mailing address
10991 TWINLEAF CT, SAN DIEGO, CA 92131-3643
(713) 628-5143
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G89274
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G89274
CA
207ND0900X
Dermatopathology Physician
G89274
CA
Other
Enumeration date
04/06/2007
Last updated
02/11/2020
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