Individual
HAL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GRANNY SMITH CT, OLD ORCHARD BEACH, ME 04064-1471
(207) 934-7276
(207) 934-0465
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1362
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017221
ANTHEM
ME
01
—
2241696
AETNA
ME
05
—
311530099
—
ME
01
—
E86724
HARVARD PILGRIM
ME
01
—
M10001501
CIGNA
ME
Enumeration date
04/11/2006
Last updated
01/30/2014
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