Diane Cohen
Individual provider Active NPI Pharmacist · Closter, NJ
NPI 1801490974 · NPPES record last updated Nov 29, 2020
Key facts
- NPI
- 1801490974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02039200 (NJ)
- Practice address
- 250 Closter Dock Rd
Closter, NJ 07624-2616 - Phone
- (201) 767-6890
- NPI assigned
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI02039200 | NJ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI02039200 | NJ | Yes |
Addresses
Primary practice location
250 Closter Dock Rd
Closter, NJ 07624-2616
Mailing address
250 Closter Dock Rd
Closter, NJ 07624-2616
Phone (201) 767-6890
Other providers in Closter, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.