Provider Demographics
NPI:1720190374
Name:COHN, NEAL BURTON (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:BURTON
Last Name:COHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4735 OGLETOWN STANTON RD
Mailing Address - Street 2:MAP 2 SUITE 1116
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2072
Mailing Address - Country:US
Mailing Address - Phone:302-368-8612
Mailing Address - Fax:302-368-8836
Practice Address - Street 1:4735 OGLETOWN STANTON RD
Practice Address - Street 2:MAP 2 SUITE 1116
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2072
Practice Address - Country:US
Practice Address - Phone:302-368-8612
Practice Address - Fax:302-368-8836
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002118208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000014901Medicaid
DE4254169OtherAETNA USHC
DE45827OtherCOVENTRY
DE125911OtherAETNA PPO
DE783F24OtherBCBS OF DE
DE856321OtherMAMSI
DE0000014901OtherDIAMOND STATE PARTNERS
DE51-0110041OtherBCBS
DE0000014901OtherDE PHYSICIANS CARE
DE0081806000OtherAETNA HMO
DE0081806000OtherKEYSTONE
DEK899OtherBCBS MD
DE510110041OtherTAX ID
DEC48651OtherMIDATLANTIC
DE51-0110041OtherBCBS
DE783F24OtherBCBS OF DE