Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 045968 | CT |
N | 2084N0600X | Clinical Neurophysiologist | 045968 | CT |
NPI | 1053584573 |
---|---|
Provider Name | Dr. Jennifer E. Madan Cohen |
First Address | Hartford, CT 06106-3322 |
Second Address | Hartford, CT 06106-3322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2008 |
Last Update Date | 04/04/2008 |