Provider Demographics
NPI:1891937280
Name:ZIMMERMAN COHEN, MONA (PA-C)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:ZIMMERMAN COHEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COLLEGE RD W
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6604
Mailing Address - Country:US
Mailing Address - Phone:609-627-8550
Mailing Address - Fax:
Practice Address - Street 1:100 COLLEGE RD W
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6604
Practice Address - Country:US
Practice Address - Phone:609-627-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA000896L363AM0700X
PAOA000016L363AM0700X
NJ25MP00008400363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical