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NPI Code Detail

MEDICARE: DR. ELIN R COHEN MD

MEDICARE:  DR. ELIN R COHEN  MD
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
1208000000XPediatrics Physician037492CT
22080P0006XDevelopmental - Behavioral Pediatrics Physician037492CT

General Provider Information

NPI Number : 1245313493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIN R COHEN MD
Provider Business Mailing Address
First Line : 5 FIELDSTONE DR
Second Line :
City : EASTON
State : CT
Zip : 06612
Country : US
Telephone Number : 203-261-2019
Fax Number :
Provider Business Practice Location Address
First Line : 4 GOODHILL RD
Second Line :
City : WESTON
State : CT
Zip : 06883
Country : US
Telephone Number : 203-226-3035
Fax Number : 203-221-1736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 10/12/2012

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Directions to “ DR. ELIN R COHEN MD” Practice Location

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