Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 227450 | MA |
NPI | 1003848078 |
---|---|
Provider Name | Dr. Matthew A Cohen |
First Address | Westford, MA 01886-2437 |
Second Address | Chelmsford, MA 01824-2712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2006 |
Last Update Date | 08/07/2007 |