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Individual

DR. ISAAC I COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 PATIENTS FIRST DRIVE, WASHINGTON, MO 63090-4700
(636) 390-1600
(636) 390-1601
Mailing address
901 PATIENTS FIRST DRIVE, WASHINGTON, MO 63090-4700
(636) 390-1400
(636) 390-1439

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036-068229
IL
207RH0003X
Hematology & Oncology Physician
Primary
20100002678
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036068229
IL
Enumeration date
06/30/2005
Last updated
04/22/2011
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