Provider Demographics
NPI:1760565865
Name:COHEN, BARRY JOSEPH (MD PC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:JOSEPH
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 TOWER OAKS BLVD # 200
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-656-6398
Mailing Address - Fax:301-754-2503
Practice Address - Street 1:3203 TOWER OAKS BLVD # 200
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:301-656-6398
Practice Address - Fax:301-754-2503
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD377232086S0105X, 2086S0122X
VA01010431322086S0105X, 2086S0122X
DCMD196872086S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Not Answered2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E27314Medicare UPIN
579201Medicare ID - Type Unspecified