# BELLEVUE MFM LLC

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

## Provider details

- **NPI number:** 1225408248
- **Authorized official:** DR. BRUCE F COHEN M.D. (C.E.O.)
- **Authorized official phone:** (617) 264-0364

## Contact information

- **Practice address:** 2210 TROY RD, NISKAYUNA, NY 12309-4725
- **Practice address phone:** (617) 264-0364
- **Mailing address:** 1 BROOKLINE PL, SUITE 301, BROOKLINE, MA 02445-7224
- **Mailing address phone:** (617) 264-0364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2015
- **Last updated:** 10/02/2015
