Provider Demographics
NPI:1881809895
Name:NORMAN N COHEN MD. PC.
Entity type:Organization
Organization Name:NORMAN N COHEN MD. PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LICHTENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-534-6270
Mailing Address - Street 1:1501 LANSDOWNE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1333
Mailing Address - Country:US
Mailing Address - Phone:610-534-6270
Mailing Address - Fax:610-534-6269
Practice Address - Street 1:1501 LANSDOWNE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1333
Practice Address - Country:US
Practice Address - Phone:610-534-6270
Practice Address - Fax:610-534-6269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-12
Last Update Date:2007-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
32600OtherKEYSTONE MERCY
557722OtherBLUE SHIELD
6439833OtherCIGNA
06314OtherHEALTH PARTNERS
0127886902OtherAMERI HEALTH
0743930000OtherKEYSTONE HEALTH PLAN EAST
0549751OtherAETNA, US HEALTHCARE
PA1007300830008Medicaid
0743930000OtherKEYSTONE HEALTH PLAN EAST