Provider Demographics
NPI:1164434015
Name:COHEN, MARK FREDERICK (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:FREDERICK
Last Name:COHEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:1950 MARIETTA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2324
Practice Address - Country:US
Practice Address - Phone:717-392-7986
Practice Address - Fax:717-295-7271
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2025-01-13
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Provider Licenses
StateLicense IDTaxonomies
PAOS012957207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty