Provider Demographics
NPI:1447218037
Name:COHEN, HAROLD VICTOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:VICTOR
Last Name:COHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 FERN RD
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3214
Mailing Address - Country:US
Mailing Address - Phone:732-238-0547
Mailing Address - Fax:732-390-9756
Practice Address - Street 1:110 BERGEN STREET
Practice Address - Street 2:ROOM D860
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101-1709
Practice Address - Country:US
Practice Address - Phone:973-972-0214
Practice Address - Fax:973-972-3359
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D100860700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist