Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0004461 | MD |
NPI | 1003885237 |
---|---|
Provider Name | Dr. Miriam L Cohen |
First Address | Baltimore, MD 21218-2829 |
Second Address | Baltimore, MD 21218-2829 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 12/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
CJ0677 | (02) | MD |
D74500 | (02) |