Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 22210 | CA |
NPI | 1043549363 |
---|---|
Provider Name | Dr. Jeffrey R Cohen |
First Address | Salinas, CA 93901-3936 |
Second Address | Salinas, CA 93901-3936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 15/12/2009 |