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NPI Code Detail

MEDICARE: PETER B COHN MD

MEDICARE:   PETER B COHN  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 Physician55772MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155772OTHERMEDICAL LICENSE
230446OTHERCMSP/HSP
3J05356OTHERBCBS OF MA
484396OTHERAETNA/US HEALTH CARE HMO
5055772OTHERTUFTS
67661058OTHERCIGNA
7P2772808OTHEROXFORD
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
920608OTHERHPHC
104131924OTHERAETNA/US HEALTH CARE

General Provider Information

NPI Number : 1538160981
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER B COHN MD
Provider Business Mailing Address
First Line : 1350 MAIN ST
Second Line :
City : WALPOLE
State : MA
Zip : 02081-1718
Country : US
Telephone Number : 508-668-2200
Fax Number : 508-668-6539
Provider Business Practice Location Address
First Line : 1350 MAIN ST
Second Line :
City : WALPOLE
State : MA
Zip : 02081-1718
Country : US
Telephone Number : 508-668-2200
Fax Number : 508-668-6539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/23/2013

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Directions to “ PETER B COHN MD” Practice Location

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