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Individual

DR. JASON D COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 530-3618
Mailing address
776 SHREWSBURY AVE, SUITE 201, TINTON FALLS, NJ 07724-3006
(732) 530-4949
(732) 212-1171

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MA64488
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3222403
NJ
01
363657100
US DEPT OF LABOR
NJ
01
7399020
AETNA
NJ
05
8638306
NJ
01
CC3884
RR MEDICARE GRP#
NJ
01
J19273
HEALTHNET
NJ
01
P00080799
RR MEDICARE
NJ
01
P2103741
OXFORD
NJ
Enumeration date
12/30/2005
Last updated
03/13/2013
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