Organization
HAROLD L. COHEN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD LANE COHEN MD (PHYSICIAN MEMBER)
(812) 847-8615
Entity
Organization
Contact information
Practice address
2160 E STATE HIGHWAY 54, LINTON, IN 47441-9407
(812) 847-8615
(812) 847-8616
Mailing address
811 W 2ND ST, BLOOMINGTON, IN 47403-2212
(812) 332-1401
(812) 332-3062
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01060284A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200519570
—
IN
Enumeration date
04/17/2007
Last updated
02/11/2009
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