Provider Demographics
NPI:1861276628
Name:COHEN, TALIA (RDN, CNSC, CDCES)
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:RDN, CNSC, CDCES
Other - Prefix:
Other - First Name:TALIA
Other - Middle Name:
Other - Last Name:PHILIPPSBORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, CNSC, CDCES
Mailing Address - Street 1:103 PARK PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-3507
Mailing Address - Country:US
Mailing Address - Phone:908-337-3531
Mailing Address - Fax:
Practice Address - Street 1:649 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1526
Practice Address - Country:US
Practice Address - Phone:973-888-1085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered