MEDICARE: DR. RAYMOND F COHEN DO

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
1	2084N0400X	Neurology Physician	36272	MO

General Provider Information

NPI Number	:	1275616609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND F COHEN DO

Provider Business Mailing Address
First Line	:	595 BELL AVE STE 225
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-3663
Country	:	US
Telephone Number	:	636-778-3312
Fax Number	:	636-532-6194

Provider Business Practice Location Address
First Line	:	1505 S BIG BEND BLVD
Second Line	:
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-2205
Country	:	US
Telephone Number	:	314-384-1006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2006
Last Update Date	:	10/08/2024

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