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Individual

DR. RANDI JILL COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2581
(215) 214-4038
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 728-2581
(215) 214-4038

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
134668
NC
2085R0001X
Radiation Oncology Physician
D72262
MD
2085R0001X
Radiation Oncology Physician
Primary
MD436379
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1366570228
NPI NUMBER
MD
01
D72262
STATE LICENSE NUMBER
MD
Enumeration date
03/01/2007
Last updated
04/11/2018
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