Individual
ANDREA COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1527
(973) 744-3733
(973) 707-5821
Mailing address
123 HIGHLAND AVE, GLEN RIDGE, NJ 07028-1527
(973) 744-3733
(973) 707-5821
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
715058
MD
163WD0400X
Diabetes Educator Registered Nurse
Primary
26N011138800
NJ
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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