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Individual

DR. KENNETH LEROY COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 CAMPBELL AVE, EMERGENCY ROOM/11C, WEST HAVEN, CT 06516-2770
(203) 937-4777
(203) 937-4854
Mailing address
950 CAMPBELL AVE, EMERGENCY ROOM/11C, WEST HAVEN, CT 06516-2770
(203) 937-4777
(203) 937-4854

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019639
CT

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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