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General NPI Number Information
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NPI Number | 1023015419
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Entity Type | Individual
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Provider Name | ISAAC I COHEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 04/22/2011
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Provider Practice Location Address
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Address Line | 901 PATIENTS FIRST DRIVE
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City | WASHINGTON
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State | MO
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Zip | 63090-4700
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Country | US
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Telephone | 636-390-1600
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Fax | 636-390-1601
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Provider Business Mailing Address
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Address Line | 901 PATIENTS FIRST DRIVE
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City | WASHINGTON
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State | MO
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Zip | 63090-4700
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Country | US
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Telephone | 636-390-1400
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Fax | 636-390-1439
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 036-068229
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 20100002678
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License Number State | MO
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