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NPI Code Detail

MEDICARE: DR. MATTHEW E COHEN MD

MEDICARE: DR. MATTHEW E 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
1207RG0100XGastroenterology Physician036145157IL
2207RG0100XGastroenterology Physician034936CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548241490
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW E COHEN MD
Provider Business Mailing Address
First Line : 67 MAPLE AVE
Second Line :
City : DERBY
State : CT
Zip : 06418-1328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 130 DIVISION ST
Second Line :
City : DERBY
State : CT
Zip : 06418-1326
Country : US
Telephone Number : 203-732-1330
Fax Number : 203-732-1332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 10/03/2024

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Directions to “ DR. MATTHEW E COHEN MD” Practice Location

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