Provider Demographics
NPI:1417968355
Name:COHEN, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-342-2040
Mailing Address - Fax:856-968-8311
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:SUITE 550
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-2040
Practice Address - Fax:856-968-8311
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2016-05-06
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Provider Licenses
StateLicense IDTaxonomies
NJMA080799208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
60026475OtherHORIZON NJ HEALTH
2728263OtherUNITED HEALTHCARE
010777960OtherAMERICHOICE
NJ0111490Medicaid
44585OtherUNIVERSITY HEALTHPLAN
1451682OtherCIGNA
P3717515OtherOXFORD HEALTHPLAN
NJ2765114000OtherAMERIHEALTH PIN
1340966OtherAETNA
3K6026OtherHEALTHNET
P00364841OtherRR MEDICARE
60026475OtherHORIZON NJ HEALTH