Organization
ANNKLEIN FORENSIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY COHEN MD (MEDICAL DIRECTOR)
(609) 633-0905
Entity
Organization
Contact information
Practice address
7717 STUYVESANT AVENUE, WEST TRENTON, NJ 08628
(609) 292-0048
Mailing address
325 RIDGE AVE, NEWTOWN, PA 18940-3611
(215) 598-0568
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
25MAO5481000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4467001
—
NJ
Enumeration date
08/31/2006
Last updated
08/14/2008
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