MEDICARE: DR. RHONDA S COHEN DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	136	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	3990735	OTHER	CIGNA
2	0278F	OTHER	BCBS GROUP
3	08029	OTHER	BCBS IND

General Provider Information

NPI Number	:	1346259967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RHONDA S COHEN DPM

Provider Business Mailing Address
First Line	:	3811 NORTH ROXBORO ROAD
Second Line	:	SUITE A
City	:	DURHAM
State	:	NC
Zip	:	27704-5800
Country	:	US
Telephone Number	:	919-471-1002
Fax Number	:	919-471-2638

Provider Business Practice Location Address
First Line	:	3811 NORTH ROXBORO ROAD
Second Line	:	SUITE A
City	:	DURHAM
State	:	NC
Zip	:	27704-5800
Country	:	US
Telephone Number	:	919-471-1002
Fax Number	:	919-471-2638

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

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