Doctor Name: | JONATHAN B COHEN |
NPI Number: | 1801093943 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 2008-01624 |
Business Practice Address: | 5255 Loughboro Rd Nw Washington, DC - 20016 |
Business Phone Number: | 3365800070 |
Business Fax Number: | |
Mailing Address: | 5255 Loughboro Rd Nw, WASHINGTON |
State: | DC |
Postal Code: | 20016 |
Phone Number: | 3365800070 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2008-01624 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |