Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | D21680 | MD |
NPI | 1770575326 |
---|---|
Provider Name | Dr. Howard Byron Cohen |
First Address | Baltimore, MD 21215-2443 |
Second Address | Baltimore, MD 21215-2443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272901600 | (05) | MD |
D74578 | (02) |