Individual
JILLIAN LAURA COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 DAVIS AVE FL 1, NEPTUNE, NJ 07753-4488
(732) 263-7999
(732) 242-6688
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
25MA11222800
NJ
207Q00000X
Family Medicine Physician
281039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
05/01/2012
Last updated
07/31/2024
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