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Organization

COHEN PODIATRY CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD ROBERT COHEN D.P.M. (PODIATRIST)
(228) 832-4475
Entity
Organization

Contact information

Practice address
12056 MOBILE AVE, GULFPORT, MS 39503-3004
(228) 832-4475
(228) 832-1512
Mailing address
12056 MOBILE AVE, GULFPORT, MS 39503-3004
(228) 832-4475
(228) 832-1512

Taxonomy

Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
80055
MS

Other

Enumeration date
01/24/2008
Last updated
01/29/2008
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