Individual
MRS. THERESA E COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA, RN
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BLDG, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
960 MAIN ST, BRANFORD, CT 06405-3730
(203) 488-6358
(203) 481-5327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001664
CT
Other
Enumeration date
07/18/2006
Last updated
11/27/2017
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