Individual
GARY COHEN
Active
Individual
GARY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018911
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001189117
—
CT
01
—
010018911CT01
ANTHME BLUE SHIELD
CT
01
—
0V3692
HEALTHNET
—
Enumeration date
07/26/2006
Last updated
06/22/2021
Update your record
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