Provider Demographics
NPI:1598826166
Name:COHEN, TED (MD)
Entity Type:Individual
Prefix:MR
First Name:TED
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 EAST NORTHFIELD RD SUITE 3B
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-422-1200
Mailing Address - Fax:973-422-9169
Practice Address - Street 1:315 EAST NORTHFIELD RD SUITE 3B
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-422-1200
Practice Address - Fax:973-422-9169
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA34228207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2084564OtherOXFORD
2243105OtherAETNA
11046863OtherMULTIPLAN
1K3469OtherPHS
3458930006OtherCIGNA
3458930006OtherCIGNA
P2084564OtherOXFORD