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Individual

GLORIA C COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD2012-0764
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
250013462
RAILROAD MEDICARE
CT
Enumeration date
02/06/2006
Last updated
08/06/2015
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