Individual
CHARLES SAMUEL COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
195 UNION ST, ROCKPORT, ME 04856-6107
(207) 706-5030
(877) 343-6641
Mailing address
195 UNION ST, ROCKPORT, ME 04856-6107
(207) 706-5030
(877) 343-6641
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1695
ME
363A00000X
Physician Assistant
PA4614
MA
Other
Enumeration date
01/31/2013
Last updated
10/01/2020
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