Individual
MR. MARK LEONARD COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
94 COREY RD APT 16, BRIGHTON, MA 02135-8138
(617) 277-9247
Mailing address
94 COREY ROAD #16, BRIGHTON, MA 02135
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
227944
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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