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Organization

DR. LEE S COHEN ASSOCIATES

Active
Parent organization
DR LEE S COHEN ASSOCIATES
Organization subpart
Yes

Provider details

NPI number
Legal business name
DR LEE S COHEN ASSOCIATES
Authorized official
LEE S COHEN D.P.M. (OWNER / PRESIDENT)
(610) 522-9200
Entity
Organization

Contact information

Practice address
642 EAST CHESTER PIKE, RIDLEY PARK, PA 19078
(610) 522-9200
(610) 522-9478
Mailing address
642 EAST CHESTER PIKE, RIDLEY PARK, PA 19078
(610) 522-9200
(610) 522-9478

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001567L
PA
213ES0000X
Sports Medicine Podiatrist
SC001567L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000707925
HIGHMARK BLUESHIELD ID
PA
Enumeration date
06/07/2006
Last updated
02/19/2010
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