Main Line Cosmetic Surgery LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA04990800 Issued in NJ

Legal business name

MAIN LINE COSMETIC SURGERY LLC

Practice address

2301 E Evesham Rd
Suite 101
Voorhees, NJ 08043-4501

Phone

(856) 772-2552

Fax

(856) 772-1946

NPI assigned

Jan 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc S. Cohen, MD

Title

Partner

Phone

(856) 772-2552

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1952547374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-2552",
            "fax_number": "856-772-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD",
            "address_2": "SUITE 101",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-772-2552",
            "fax_number": "856-772-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE COSMETIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-772-2552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA04990800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francesca Ann Maher, APN
• Jennifer Lee Maher
• Hamid Mahmud, MD
• Elizabeth K Mahon, RD
• Richard A Maiella, DO
• Main Line Oculoplastics
• Kareemah Major, LCSW
• Usman Malik
• Angelina Malinski
• Cheyenne Malloy

• Ophthalmology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.