Individual
LEROY ELLIS COHEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 GREENBELT RD, SUITE U16, BERWYN HEIGHTS, MD 20740-2354
(301) 474-6996
(301) 474-3501
Mailing address
6201 GREENBELT RD, SUITE U16, BERWYN HEIGHTS, MD 20740-2354
(301) 474-6996
(301) 474-3501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D0015306
MD
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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