Provider Demographics
NPI:1356319545
Name:COHEN, JASON E (DO)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:E
Last Name:COHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 STEPHENSON AVE
Mailing Address - Street 2:PATTERSON ARMY HEALTH CLINIC
Mailing Address - City:FORT MONMOUTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07703-1518
Mailing Address - Country:US
Mailing Address - Phone:732-532-1244
Mailing Address - Fax:
Practice Address - Street 1:1075 STEPHENSON AVE
Practice Address - Street 2:PATTERSON ARMY HEALTH CLINIC
Practice Address - City:FORT MONMOUTH
Practice Address - State:NJ
Practice Address - Zip Code:07703-1518
Practice Address - Country:US
Practice Address - Phone:732-532-1244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226974207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine