Individual
DR. JONATHAN DAVID COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 CENTRAL AVE STE 500, NEW PROVIDENCE, NJ 07974-1505
(908) 795-1194
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA10476100
NJ
207Y00000X
Otolaryngology Physician
60177
WI
Other
Enumeration date
06/15/2008
Last updated
08/23/2021
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