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Individual

MS. BETSY JANE COHEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
FAAA

Contact information

Practice address
920 REVOLUTION ST, HAVRE DE GRACE, HAVRE DE GRACE, MD 21078-3718
(410) 939-2030
(410) 939-2031
Mailing address
920 REVOLUTION ST, HAVRE DE GRACE, HAVRE DE GRACE, MD 21078-3718
(410) 939-2030
(410) 939-2031

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
460
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005749633
AETNA
MD
05
374948700 183421
MD
Enumeration date
06/15/2005
Last updated
07/08/2007
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