Individual
ROSS SAMUEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
8023 RITCHIE HWY, PASADENA, MD 21122-7107
(410) 761-4190
(410) 761-0265
Mailing address
8023 RITCHIE HWY, PASADENA, MD 21122-7107
(410) 761-4190
(410) 761-0265
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01203
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10227273
AMERIGROUP
MD
01
—
228938
MDIPA/OPTIMUM CHOICE
MD
05
—
358668500
—
MD
05
—
358908100
—
MD
01
—
480019706
RAILROAD MEDICARE
MD
01
—
521873415
TRICARE
MD
01
—
5295711
AETNA
MD
01
—
KT11
BLUE SHIELD NASCO
MD
01
—
KT11 // 30736001
CAREFIRST BLUE SHIELD
MD
01
—
T584 0001
BLUECHOICE
MD
Enumeration date
07/13/2005
Last updated
06/06/2008
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