Organization
PODIATRIC SURGICAL ASSOCIATION OF CENTRAL JERSEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY COHEN DPM (PRESIDENT)
(908) 730-8881
Entity
Organization
Contact information
Practice address
122 W MAIN ST, CLINTON, NJ 08809-1272
(908) 730-8881
(908) 730-6465
Mailing address
122 W MAIN ST, CLINTON, NJ 08809-1272
(908) 730-8881
(908) 730-6465
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00119800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099717000
AMERIHEALTH
—
01
—
110887
CHN
—
01
—
489684
UNITED HEALTHCARE
—
01
—
F03784
HEALTHNET
—
01
—
P00195654
RAILROAD MEDICARE
—
01
—
TS133
OXFORD
—
Enumeration date
01/24/2006
Last updated
02/26/2008
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