Individual
DR. BRUCE ELLIOT COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 323-2000
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36160
NC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
36160
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730024
NSC #
NC
05
—
1891778973
—
NC
05
—
N36160
—
SC
Enumeration date
11/22/2005
Last updated
01/12/2018
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