Individual
MERVYN D COHEN
Active
Individual
MERVYN D COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
01031346
IN
2085R0202X
Diagnostic Radiology Physician
01031346
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100349050
—
IN
01
—
300023464
RAILROAD MEDICARE
IN
Enumeration date
06/04/2006
Last updated
02/15/2011
Update your record
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