| Doctor Name: | DR. IAN THOMAS COHEN |
| NPI Number: | 1073515524 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA08142300 |
| Business Practice Address: | 300 2nd Ave Suite 021 Long Branch, NJ - 077406303 |
| Business Phone Number: | 7329236091 |
| Business Fax Number: | 7329236092 |
| Mailing Address: | Po Box 8000, Dept 601 BUFFALO |
| State: | NY |
| Postal Code: | 142670002 |
| Phone Number: | 8662950041 |
| Fax Number: | 7083422517 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 10/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0120X |
| License Number: | 25MA08142300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Pediatric Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |