Provider Demographics
NPI:1083816227
Name:COHEN-SCHWARTZ, DAWN SHERI (MD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:SHERI
Last Name:COHEN-SCHWARTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07902-0460
Mailing Address - Country:US
Mailing Address - Phone:908-277-3335
Mailing Address - Fax:908-522-0066
Practice Address - Street 1:118 ELM ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3126
Practice Address - Country:US
Practice Address - Phone:908-277-3335
Practice Address - Fax:908-522-0066
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA078292002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0120421Medicaid
NJH41540Medicare UPIN
NJ0120421Medicaid