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Individual

SCOTT D COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
950 S MAIN ST STE 10, CELINA, OH 45822-2475
(419) 586-6899
(419) 856-6799
Mailing address
950 S MAIN ST STE 10, CELINA, OH 45822-2475
(419) 586-6899
(419) 586-6799

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
01080881A
IN
208800000X
Urology Physician
23460
SC
208800000X
Urology Physician
Primary
35091926
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2844239
OH
05
300017108
IN
01
815500281
MEDICARE PTAN
IN
05
T77556
SC
Enumeration date
09/16/2006
Last updated
12/05/2024
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