Provider Demographics
NPI:1548354228
Name:JULIA H COHEN, MD, PC
Entity type:Organization
Organization Name:JULIA H COHEN, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORBERTUS
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROBBEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-924-0392
Mailing Address - Street 1:2010 WEST CHESTER PIKE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2738
Mailing Address - Country:US
Mailing Address - Phone:610-924-0392
Mailing Address - Fax:610-924-0620
Practice Address - Street 1:2010 WEST CHESTER PIKE
Practice Address - Street 2:SUITE 350
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2738
Practice Address - Country:US
Practice Address - Phone:610-924-0392
Practice Address - Fax:610-924-0620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044143-L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA070015734OtherGROUP #CH7831 RR MEDICARE
PA3214684005OtherCIGNA
PA0836644000OtherNAVINET GROUP
PA097083179OtherDUNS
PA299338ML2OtherMAMSI
PA0836644000OtherKEYSTONE
PA2519507OtherAETNA/US HEALTHCARE
PA2519507OtherAETNA/US HEALTHCARE