Doctor Name: | ODETTE MARIE COHEN-MARTIN |
NPI Number: | 1629173125 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MA0495860 |
Business Practice Address: | 621 Beverly Rancocas Rd Suite 2d East Ridge Plaza Willingboro, NJ - 080463727 |
Business Phone Number: | 6098776800 |
Business Fax Number: | 6098771570 |
Mailing Address: | 621 Beverly Rancocas Rd, Suite 2d East Ridge Plaza WILLINGBORO |
State: | NJ |
Postal Code: | 080463727 |
Phone Number: | 6098776800 |
Fax Number: | 6098771570 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 11/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA0495860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |