Provider Demographics
NPI:1659464352
Name:COHEN, JULIA H (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:H
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 BROOKVIEW LANE
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4008
Mailing Address - Country:US
Mailing Address - Phone:610-446-6533
Mailing Address - Fax:610-446-6533
Practice Address - Street 1:2010 WEST CHESTER PIKE
Practice Address - Street 2:SUITE 350
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2738
Practice Address - Country:US
Practice Address - Phone:610-924-0135
Practice Address - Fax:610-924-0620
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044143-L207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0710807000Other767042PIN IBC HMO PROVIDE
PAMD044143-LOtherLICENSE
PA629043OtherBLUE SHIELD
PABC 3049245OtherDEA
PA0710807000Other767042PIN IBC HMO PROVIDE
PAF78767Medicare UPIN