Healthcare Provider Details

I. General information

NPI: 1023084654
Provider Name (Legal Business Name): ALLISON LEIGH COHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 HIGHLAND AVE REAR
SALEM MA
01970-7008
US

IV. Provider business mailing address

331 HIGHLAND AVE REAR
SALEM MA
01970-7008
US

V. Phone/Fax

Practice location:
  • Phone: 978-542-0331
  • Fax: 978-744-1875
Mailing address:
  • Phone: 978-542-0331
  • Fax: 978-744-1875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number212036
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: