Individual
RAYMOND COGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 GRANGE AVE, FAIR HAVEN, NJ 07704-3004
(732) 939-6299
Mailing address
72 GRANGE AVE, FAIR HAVEN, NJ 07704-3004
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA06615900
NJ
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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