Individual
JEROME D COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8138 WESTMORELAND AVE, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63105-3731
(314) 721-2820
Mailing address
8138 WESTMORELAND AVE, PROVIDER ENROLLMENT, SAINT LOUIS, MO 63105-3731
(314) 721-2820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
29623
MO
Other
Enumeration date
08/04/2006
Last updated
04/16/2010
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