Individual
JEFFREY MARCUS COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CHURCH ST S STE 305, NEW HAVEN, CT 06519
(203) 789-1249
Mailing address
2 CHURCH ST S STE 305, NEW HAVEN, CT 06519-1717
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
63676
CT
390200000X
Student in an Organized Health Care Education/Training Program
264183
MA
Other
Enumeration date
06/08/2015
Last updated
08/12/2019
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