Individual
ERIC BRUCE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(860) 793-3500
(860) 793-3520
Mailing address
91 NORTHWEST DRIVE, PLAINVILLE, CT 06062
(860) 793-3500
(860) 793-3520
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0290170
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001291707
—
CT
Enumeration date
11/16/2006
Last updated
03/08/2012
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