1679783815 NPI number — COHEN & COHEN PARTNERSHIP

Table of content: (NPI 1679783815)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679783815 NPI number — COHEN & COHEN PARTNERSHIP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COHEN & COHEN PARTNERSHIP
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:
6
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:
1679783815
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2770 SOLOMONS ISLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EDGEWATER
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21037-1211
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
440-224-3387
Provider Business Mailing Address Fax Number:
410-224-3955

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2770 SOLOMONS ISLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EDGEWATER
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21037-1211
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-224-3387
Provider Business Practice Location Address Fax Number:
410-224-3955
Provider Enumeration Date:
05/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COHEN
Authorized Official First Name:
JAY
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRINCIPLE PARTNER
Authorized Official Telephone Number:
410-224-3387

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  SO1076 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: KJ41 . This is a "BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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