Cohen, Gary S

Cohen, Gary S is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Cohen, Gary S can be contacted via phone (215) 707-7237.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140
Phone: (215) 707-7237
Fax: (215) 707-9389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD042660L Pennsylvania

Profile Details

NPI number 1891784559
LBN Legal business name Cohen, Gary S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 23rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891784559 NPPES
Pennsylvania MEDICAID 0012942540001

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