Individual
MR. SCOTT JASON COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 HAYDENBERRY DR UNIT 103, MILTON, VT 05468-2200
(802) 893-1200
(802) 893-2756
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G70317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G70317
MEDICAL LICENSE
CA
Enumeration date
07/12/2006
Last updated
07/15/2024
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