Individual
REBECCA J COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3689
(812) 331-3656
Mailing address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 330-3689
(812) 331-3656
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01062441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200828010
—
IN
Enumeration date
07/21/2006
Last updated
10/12/2016
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