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Individual

DR. JOSEPH THEODORE COHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
23 S 1ST AVE, HIGHLAND PARK, NJ 08904-2113
(732) 545-3434
Mailing address
23 S 1ST AVE, HIGHLAND PARK, NJ 08904-2113
(732) 545-3434

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA04228500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08005366
RR MEDICARE
05
1745409
NJ
01
222474493
FEDERAL TAX ID
01
25MA04228500
NJ MEDICAL LICENSE
NJ
Enumeration date
08/07/2006
Last updated
04/13/2010
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