Organization
DR. RICHARD S COHEN TOTAL FOOT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEVEN COHEN DPM (OWNER)
(301) 345-4087
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR, SUITE 112, GREENBELT, MD 20770-3509
(301) 345-4087
(301) 345-0482
Mailing address
7525 GREENWAY CENTER DR, SUITE 112, GREENBELT, MD 20770-3509
(301) 345-4087
(301) 345-0482
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1096
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02GY
BCBS MD
MD
01
—
223528
OPTIMUM CHIOCE
MD
Enumeration date
04/24/2007
Last updated
05/22/2012
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