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Individual

ROBERT MAYNARD COHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-7400
(513) 475-8201
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-051414
OH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-051414
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0603323
OH
05
200036100
IN
01
4600000981
RAILROAD MEDICARE
OH
05
64864655
KY
Enumeration date
04/20/2006
Last updated
07/11/2017
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