Provider Demographics
NPI:1427379155
Name:COHLER, MARISSA H (MD)
Entity type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:H
Last Name:COHLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 MERION SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:GLADWYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19035-1510
Mailing Address - Country:US
Mailing Address - Phone:646-598-8338
Mailing Address - Fax:
Practice Address - Street 1:944 MERION SQUARE RD
Practice Address - Street 2:
Practice Address - City:GLADWYNE
Practice Address - State:PA
Practice Address - Zip Code:19035-1510
Practice Address - Country:US
Practice Address - Phone:646-598-8338
Practice Address - Fax:866-301-4910
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2024-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-057412208100000X
IL036135846208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation