Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 34005164 | OH |
NPI | 1043266216 |
---|---|
Provider Name | Dr. Monique S Cohn |
First Address | Cleveland, OH 44193-2930 |
Second Address | Twinsburg, OH 44087-2110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 23/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000137680 | ANTHEM (01) | |
0908085 | (05) | OH |
F49950 | (02) |