Individual
DR. SHAWN MATTHEW COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 LONG WHARF DR, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR STE 321, NEW HAVEN, CT 06511-5946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64769
CT
207R00000X
Internal Medicine Physician
MD60770050
WA
208M00000X
Hospitalist Physician
MD60770050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004217099
—
CT
05
—
008039745
—
CT
05
—
008056033
—
CT
05
—
008056168
—
CT
05
—
008068298
—
CT
05
—
008095234
—
CT
05
—
1356737233
—
WA
Enumeration date
04/08/2015
Last updated
07/09/2020
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