Individual
ANDREW ROSS COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1352
(208) 367-6416
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M7985
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050075472
RAILROAD MEDICARE
ID
05
—
805810100
—
ID
Enumeration date
05/16/2006
Last updated
11/19/2010
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