Individual
BRIAN COHAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-5435
Mailing address
2325 BARRY ST, CHARLOTTE, NC 28205-2305
(443) 807-9602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
201800629
NC
Other
Enumeration date
06/13/2015
Last updated
11/04/2021
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