Provider Demographics
NPI:1134279441
Name:DRS JOSEPH A COHEN AND EDWARD G CAVICCHI
Entity Type:Organization
Organization Name:DRS JOSEPH A COHEN AND EDWARD G CAVICCHI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-857-1230
Mailing Address - Street 1:972 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-9998
Mailing Address - Country:US
Mailing Address - Phone:781-857-1230
Mailing Address - Fax:781-857-1231
Practice Address - Street 1:972 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-9998
Practice Address - Country:US
Practice Address - Phone:781-857-1230
Practice Address - Fax:781-857-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA96541223G0001X
MA135511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty