Provider Demographics
NPI:1932223104
Name:COHEN, CARA R (PA C, MPAS)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:R
Last Name:COHEN
Suffix:
Gender:F
Credentials:PA C, MPAS
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1260 VALLEY FORGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1260 VALLEY FORGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2691
Practice Address - Country:US
Practice Address - Phone:610-983-3980
Practice Address - Fax:610-983-3406
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA051902363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAQ39825Medicare UPIN