Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CA14343 | CA |
NPI | 1679659783 |
---|---|
Provider Name | Dr. Gerald Cohen |
First Address | Menlo Park, CA 94025-3359 |
Second Address | Menlo Park, CA 94025-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |