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Individual

RONALD J COHEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6565 N CHARLES ST, STE 408, BALTIMORE, MD 21204-6800
(410) 321-7360
(410) 321-7361
Mailing address
3310 FALLSTAFF RD, BALTIMORE, MD 21215-1723
(410) 764-0906

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D16353
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C01RJ
BCBS
MD
05
780221800
MD
01
R3550000
BLUE CROSS BLUE SHIELD FE
MD
Enumeration date
09/16/2005
Last updated
07/08/2007
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