Organization
PENNSUAKEN FAMILY PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN P COHEN D.O. (OWNER)
(856) 663-1470
Entity
Organization
Contact information
Practice address
5647 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1836
(856) 663-1470
(856) 663-3409
Mailing address
5647 WESTFIELD AVE, PENNSAUKEN, NJ 08110-1836
(856) 663-1470
(856) 663-3409
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
61259
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0964523000
KEYSTONE
PA
01
—
3370
AETNA
PA
05
—
857996
—
NJ
Enumeration date
04/26/2007
Last updated
05/13/2013
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