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Individual

PETER B COHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1350 MAIN ST, WALPOLE, MA 02081-1718
(508) 668-2200
(508) 668-6539
Mailing address
1350 MAIN ST, WALPOLE, MA 02081-1718
(508) 668-2200
(508) 668-6539

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55772
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055772
TUFTS
01
20608
HPHC
05
3007685
MA
01
30446
CMSP/HSP
01
4131924
AETNA/US HEALTH CARE
01
55772
MEDICAL LICENSE
01
7661058
CIGNA
01
84396
AETNA/US HEALTH CARE HMO
01
J05356
BCBS OF MA
01
P2772808
OXFORD
Enumeration date
08/09/2005
Last updated
04/23/2013
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