Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 42559 | MA |
NPI | 1003892878 |
---|---|
Provider Name | Richard A Cohen |
First Address | Boston, MA 02118-2647 |
Second Address | Boston, MA 02118-2656 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0122998 | (05) | MA |
B97542 | (02) | MA |