Organization
ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B COHEN DDS (PRESIDENT)
(856) 751-1808
Entity
Organization
Contact information
Practice address
1910 ROUTE 70 E, SUITE 4, CHERRY HILL, NJ 08003-2123
(856) 751-1808
(856) 751-7162
Mailing address
1910 ROUTE 70 E, SUITE 4, CHERRY HILL, NJ 08003-2123
(856) 751-1808
(856) 751-7162
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI00912900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159652
MEDICARE CORP #
NJ
Enumeration date
05/14/2007
Last updated
02/09/2009
Update your record
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