Individual
DR. EVAN BRUCE COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 274-4800
(401) 454-0410
Mailing address
44 W RIVER ST, PROVIDENCE, RI 02904-2609
(401) 274-4800
(401) 454-0410
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6867
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143
NEIGHBORHOOD HEALTH PLAN OF RI
RI
01
—
303204
HARVARD PILGRIM
RI
01
—
406204
TUFTS
RI
05
—
7000104
—
RI
Enumeration date
10/18/2005
Last updated
01/08/2009
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