Individual
DR. STEPHANIE GAIL COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 PATERSON ST, MEB THIRD FLOOR, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7893
Mailing address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(732) 985-7224
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07654900
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
065949
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080616
—
NJ
Enumeration date
08/11/2006
Last updated
08/03/2018
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