Provider Demographics
NPI:1487790630
Name:PATTERSON-COHEN, JEANNE (DO)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:
Last Name:PATTERSON-COHEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4204
Mailing Address - Country:US
Mailing Address - Phone:215-755-0500
Mailing Address - Fax:215-755-3561
Practice Address - Street 1:1400 REED ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-4823
Practice Address - Country:US
Practice Address - Phone:215-755-0500
Practice Address - Fax:215-755-3561
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS00441802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF70958Medicare UPIN