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Individual

IAN M COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 GRANDVIEW AVE, SUITE 202, WATERBURY, CT 06708-2505
(203) 755-2344
(203) 573-8166
Mailing address
140 GRANDVIEW AVE, SUITE 202, WATERBURY, CT 06708-2505
(203) 755-2344
(203) 573-8166

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
018170
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010018170CT01
ANTHEM PROVIDER NUMBER
CT
01
01008170CT01
ANTHEM FAMILY PLAN NUMBER
CT
01
0228487
CIGNA PROVIDER NUMBER
CT
01
0740436
UNITED HEALTHCARE
CT
01
128561
WELLCARE PROVIDER #
CT
01
752412
CONNECTICARE PROVIDER #
CT
01
83722
US HEALTHCARE PROVIDER #
CT
01
NHP011
OXFORD PROVIDER NUMBER
CT
01
ORO791
HEALTHNET PROVIDER #
CT
Enumeration date
08/04/2006
Last updated
07/08/2007
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