Provider Demographics
NPI:1184619512
Name:COHEN, MARC C (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:C
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1235 OLD YORK RD
Mailing Address - Street 2:SUITE NUMBER 222
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3800
Mailing Address - Country:US
Mailing Address - Phone:215-517-1000
Mailing Address - Fax:215-517-1049
Practice Address - Street 1:1235 OLD YORK RD
Practice Address - Street 2:SUITE NUMBER 222
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3800
Practice Address - Country:US
Practice Address - Phone:215-517-1000
Practice Address - Fax:215-517-1049
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2011-02-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD024879E207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC28786Medicare UPIN
PACO066297Medicare ID - Type Unspecified