Individual
JAMIESON VERGERONT COHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2508
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
LP01167
RI
207P00000X
Emergency Medicine Physician
Primary
MD13314
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002186501
RI MEDICARE
RI
01
—
07012011
TUFTS HEALTH PLAN
MA
01
—
07012011
BCBSRI
RI
01
—
07122011
TRICARE
RI
01
—
07142011
NHPRI
RI
01
—
939025129
RI MEDICARE GROUP
RI
05
—
JC85129
—
RI
Enumeration date
06/04/2007
Last updated
12/01/2023
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