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General NPI Number Information
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NPI Number | 1356737233
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Entity Type | Individual
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Provider Name | SHAWN MATTHEW COHEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 1 LONG WHARF DR
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City | NEW HAVEN
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State | CT
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Zip | 06511-5991
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Country | US
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Telephone | 203-781-4600
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Fax | 203-781-4624
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Provider Business Mailing Address
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Address Line | 1 LONG WHARF DR STE 321
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City | NEW HAVEN
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State | CT
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Zip | 06511-5946
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Country | US
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Telephone |
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD60770050
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 64769
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60770050
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License Number State | WA
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