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Individual

MICHAEL R COHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
17 BELMONT AVE, ATT'N: MARILYN BOUDREAU, BRATTLEBORO, VT 05301-6613
(802) 257-8382
(802) 251-8466
Mailing address
17 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-8382
(802) 251-8466

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
032-0000517
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011302
VT
01
68513
BLUE SHIELD
VT
Enumeration date
08/16/2006
Last updated
07/08/2007
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