Individual provider · NPI-1

Jonathan Cohen

Otolaryngology · Durham, NC

NPI number1821545336
StatusActive
Last updated in NPPESNov 1, 2016

Details

NPI
1821545336
Entity type
Individual (NPI-1)
Name
Jonathan Cohen
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 1, 2016
Last updated
Nov 1, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology2016-02104NCYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2301 Erwin Rd
Durham, NC 27705-4699

Phone 919-684-8111

Mailing address

Po Box 63362
Charlotte, NC 28263-3362

Phone 800-782-6945

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