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Individual

DR. ELLEN COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17 BELMONT AVE, BRATTLEBORO, VT 05301-7601
(802) 257-0341
Mailing address
1005 GARDEN ST, HOBOKEN, NJ 07030-4302
(201) 217-1283

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0014361
VT
207R00000X
Internal Medicine Physician
MA077497
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00923684
NY
05
8985405
NJ
Enumeration date
02/27/2006
Last updated
12/03/2021
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