Individual
DR. LAWRENCE DAVID COHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 HAWTHORNE PLACE, SUITE 110 H 10 110, BOSTON, MA 02114
(617) 724-0924
(617) 724-3413
Mailing address
PO BOX 9124, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9124
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40296
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061244
—
MA
01
—
703964
TUFTS HEALTH PLAN
MA
01
—
M09733
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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