Individual
BRUCE JAY COHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6500 COYLE AVE STE 2, CARMICHAEL, CA 95608-0301
(916) 616-9268
Mailing address
PO BOX 229, ORANGEVALE, CA 95662-0229
(916) 616-9268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G46256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G462560
BLUE SHIELD
CA
Enumeration date
07/21/2006
Last updated
02/11/2022
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