Individual
DR. MATTHEW E COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 DIVISION ST, DERBY, CT 06418-1326
(203) 732-1330
(203) 732-1332
Mailing address
67 MAPLE AVE, DERBY, CT 06418-1328
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
034936
CT
207RG0100X
Gastroenterology Physician
036145157
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001349366
—
CT
Enumeration date
11/08/2005
Last updated
10/03/2024
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