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NPI Code Detail

MEDICARE: COHEN DERMATOPATHOLOGY, P.C.

MEDICARE: COHEN DERMATOPATHOLOGY, P.C.
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
1207ZP0101XAnatomic Pathology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M17162OTHERMABCBS OF MA PROVIDER NUMBE

General Provider Information

NPI Number : 1770755456
Entity Type Code : Organization
Provider Name (Legal Business Name) : COHEN DERMATOPATHOLOGY, P.C.
Provider Business Mailing Address
First Line : 1111 S FREEPORT PKWY
Second Line :
City : COPPELL
State : TX
Zip : 75019-4435
Country : US
Telephone Number : 866-588-3280
Fax Number : 972-767-0225
Provider Business Practice Location Address
First Line : 15 CRAWFORD STREET
Second Line : SUITE 100
City : NEEDHAM
State : MA
Zip : 02494
Country : US
Telephone Number : 617-969-4100
Fax Number : 972-767-0126
Authorized Official
Title or Position : MANAGER
Name : JIAN XIE
Credential :
Telephone Number : 626-695-2199
Provider Enumeration Date : 04/02/2008
Last Update Date : 12/15/2025

Similar Medicare Providers

1477522910 — COHEN DERMATOPATHOLOGY, P.C.
Practice Location Address:
15 CRAWFORD STREET , SUITE 100
NEEDHAM, MA
02494
Practice Phone: 617-969-4100
Practice Fax:
1376235721 — CLARA ELIZABETH KJELSBERG MA, LMHC
Practice Location Address:
255 HIGHLAND AVE
NEEDHAM, MA
02494-3023
Practice Phone: 781-850-6992
Practice Fax:
1972365088 — CAROLINE NITTOLI FNP-BC
Practice Location Address:
560 HILLSIDE AVE STE H
NEEDHAM, MA
02494-1232
Practice Phone: 781-444-4722
Practice Fax:
1326514894 — MRS. COLLEEN M LEVESQUE FNP
Practice Location Address:
145 ROSEMARY STREET , SUITE C
NEEDHAM, MA
02494-3259
Practice Phone: 781-235-7900
Practice Fax: 781-237-9930
1215570676 — DAVID R. RAYMOND DNP, FNP
Practice Location Address:
145 ROSEMARY STREET , SUITE C
NEEDHAM, MA
02494-3259
Practice Phone: 781-235-7900
Practice Fax: 781-237-9930
1003338088 — JESSICA A SANTICCIOLI FNP
Practice Location Address:
145 ROSEMARY STREET , SUITE C
NEEDHAM, MA
02494-3259
Practice Phone: 781-235-7900
Practice Fax: 781-237-9930

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