1881809895 NPI number — NORMAN N COHEN MD. PC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881809895 NPI number — NORMAN N COHEN MD. PC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORMAN N COHEN MD. PC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881809895
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1501 LANSDOWNE AVE
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
DARBY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19023-1333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-534-6270
Provider Business Mailing Address Fax Number:
610-534-6269

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1501 LANSDOWNE AVE
Provider Second Line Business Practice Location Address:
SUITE 205
Provider Business Practice Location Address City Name:
DARBY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19023-1333
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-534-6270
Provider Business Practice Location Address Fax Number:
610-534-6269
Provider Enumeration Date:
05/12/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LICHTENSTEIN
Authorized Official First Name:
STEVEN
Authorized Official Middle Name:
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
610-534-6270

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 32600 . This is a "KEYSTONE MERCY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 557722 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6439833 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 06314 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0127886902 . This is a "AMERI HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0743930000 . This is a "KEYSTONE HEALTH PLAN EAST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0549751 . This is a "AETNA, US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1007300830008 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".