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Individual

DR. THEODORE COHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1663 PEREGRINO WAY, SAN JOSE, CA 95125
(408) 266-3019
(408) 265-0807
Mailing address
1663 PEREGRINO WAY, SAN JOSE, CA 95125
(408) 266-3019
(408) 265-0807

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
G8450
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G8450
MEDICAL LICENSE
CA
Enumeration date
05/01/2007
Last updated
03/07/2023
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