Provider Demographics
NPI:1558304873
Name:COHEN, BARBARA ELISABETH (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ELISABETH
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:ELISABETH
Other - Last Name:POLINSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:42 E LAUREL RD
Mailing Address - Street 2:UDP #1100
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1354
Mailing Address - Country:US
Mailing Address - Phone:856-566-7036
Mailing Address - Fax:856-566-6108
Practice Address - Street 1:42 E LAUREL RD
Practice Address - Street 2:UDP #1100
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1354
Practice Address - Country:US
Practice Address - Phone:856-566-7036
Practice Address - Fax:856-566-6108
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030719E208000000X
NJ25MA02888100208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0542067OtherAETNA HMO
PA5250155OtherAETNA PPO
PA192324OtherHIGHMARK BLUE SHIELD
PA0055673000OtherINDEPENDENCE BLUE CROSS
PA441288OtherHEALTH AMERICA
PA30030889OtherKEYSTONE MERCY HEALTH PLA
PA001427430Medicaid
NJ0159051Medicaid
PA30030889OtherKEYSTONE MERCY HEALTH PLA
PA192324Medicare PIN