Individual
MICHAEL COHEN
Active
Individual
MICHAEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036-071406
IL
207RG0100X
Gastroenterology Physician
Primary
ME111913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004538900
—
FL
05
—
036-701406
—
IL
01
—
FV5208Z
MEDICARE PTAN
FL
Enumeration date
10/28/2005
Last updated
09/24/2020
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