Individual
DR. FREDRIC L COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
799 GAY ST, PHOENIXVILLE, PA 19460-4409
(610) 935-0644
(610) 935-7757
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD-022211-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008864010002
—
PA
01
—
0052773000
KEYSTONE HEALTH PLAN EAST
PA
01
—
30018349
KEYSTONE MERCY
PA
01
—
3716816
AETNA
PA
01
—
46643
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/17/2006
Last updated
07/06/2021
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