Provider Demographics
NPI:1871698951
Name:COHEN, BRAD J (MD)
Entity type:Individual
Prefix:
First Name:BRAD
Middle Name:J
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2477 RT 516
Mailing Address - Street 2:STE 103
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857
Mailing Address - Country:US
Mailing Address - Phone:732-679-6900
Mailing Address - Fax:732-679-7900
Practice Address - Street 1:2477 RT 516
Practice Address - Street 2:STE 103
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857
Practice Address - Country:US
Practice Address - Phone:732-679-6900
Practice Address - Fax:732-679-7900
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2009-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05030200207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology