Individual
JAY L COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
464 HILLSIDE AVE, SUITE 303, NEEDHAM, MA 02494-1227
(781) 449-3588
(781) 449-5474
Mailing address
464 HILLSIDE AVE, SUITE 303, NEEDHAM, MA 02494-1227
(781) 449-3588
(781) 449-5474
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
079748
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3149790
—
MA
Enumeration date
01/20/2006
Last updated
08/23/2011
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