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General NPI Number Information
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NPI Number | 1548295892
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Entity Type | Individual
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Provider Name | SCOTT JASON COHEN MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 11 HAYDENBERRY DR UNIT 103
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City | MILTON
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State | VT
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Zip | 05468-2200
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Country | US
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Telephone | 802-893-1200
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Fax | 802-893-2756
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Provider Business Mailing Address
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Address Line | 600 BLAIR PARK RD STE 285
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City | WILLISTON
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State | VT
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Zip | 05495-7586
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Country | US
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Telephone | 802-288-1140
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Fax | 802-288-1144
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | G70317
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License Number State | CA
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