Individual
DR. MIRIAM SUSAN COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
97 BARNES RD, STE 6, WALLINGFORD, CT 06492-1885
(203) 753-6776
(203) 573-1875
Mailing address
195 BEAR PATH RD, HAMDEN, CT 06514-1342
(203) 407-0161
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
040590
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001405902
—
CT
Enumeration date
04/14/2006
Last updated
04/23/2017
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