Individual
EDWARD ROBERT COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
640616729
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016981
—
MS
01
—
2730008
UHC
MS
01
—
409879
WINDSOR MEDICARE EXTRA
MS
Enumeration date
06/30/2005
Last updated
07/11/2012
Update your record
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