Provider Demographics
NPI:1477545150
Name:COHEN, MARTIN E (DC)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:E
Last Name:COHEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3217
Mailing Address - Country:US
Mailing Address - Phone:908-654-5353
Mailing Address - Fax:908-232-3481
Practice Address - Street 1:434 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-3217
Practice Address - Country:US
Practice Address - Phone:908-654-5353
Practice Address - Fax:908-232-3481
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1670111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP431172OtherOXFORD INSURANCE
NJ521792Medicare ID - Type Unspecified
NJP431172OtherOXFORD INSURANCE