Organization
BERTRAM H COCHRAN MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTRAM H COCHRAN MD (OWNER)
(440) 355-3435
Entity
Organization
Contact information
Practice address
8224 MENTOR AVE, SUITE 104, MENTOR, OH 44060-5768
(440) 255-3435
(440) 255-0181
Mailing address
8224 MENTOR AVE, SUITE 104, MENTOR, OH 44060-5768
(440) 255-3435
(440) 255-0181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35024257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000165358
ANTHEM BLUE CROSS BLUE SHIELD
OH
05
—
0058342
—
OH
Enumeration date
04/05/2010
Last updated
04/05/2010
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