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NPI Code Detail

MEDICARE: ROBERT MARTIN COHEN MD

MEDICARE: ROBERT MARTIN 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
12084N0400XNeurology PhysicianG87502CA
22084P0800XPsychiatry Physician68429GA

General Provider Information

NPI Number : 1639211311
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MARTIN COHEN MD
Provider Business Mailing Address
First Line : PO BOX 512717
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-0717
Country : US
Telephone Number : 310-967-1884
Fax Number : 866-696-7655
Provider Business Practice Location Address
First Line : 2801 BUFORD HWY NE STE 100
Second Line :
City : BROOKHAVEN
State : GA
Zip : 30329-2146
Country : US
Telephone Number : 678-820-7830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 05/12/2025

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Directions to “ ROBERT MARTIN COHEN MD” Practice Location

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