# COHN MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114275112
- **Authorized official:** MS. JENNIFER AMICA COHN M.D. (OWNER)
- **Authorized official phone:** (510) 964-0458

## Contact information

- **Practice address:** 2001 DWIGHT WAY RM 2350, BERKELEY, CA 94704-2608
- **Practice address phone:** (510) 204-4738
- **Practice address fax:** (510) 204-5892
- **Mailing address:** PO BOX 1460, SUISUN CITY, CA 94585-4460
- **Mailing address phone:** (510) 964-0458
- **Mailing address fax:** (510) 964-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A110257 | CA | Yes |

## Other

- **Enumeration date:** 08/22/2012
- **Last updated:** 08/22/2012