Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 217346 | MA |
Y | 2080P0214X | Pediatric Pulmonologist | 217346 | MA |
NPI | 1457385320 |
---|---|
Provider Name | Dr. Robyn Cohen |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 22/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110073371A | (05) | MA |