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NPI Code Detail

MEDICARE: DR. JUSTIN BRENT COHEN MD, MHS

MEDICARE:  DR. JUSTIN BRENT COHEN  MD, MHS
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
12086S0122XPlastic and Reconstructive Surgery Physician287901NY
22086S0122XPlastic and Reconstructive Surgery Physician62546CO

General Provider Information

NPI Number : 1891007126
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUSTIN BRENT COHEN MD, MHS
Provider Business Mailing Address
First Line : 36 STEELE ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80206-5710
Country : US
Telephone Number : 720-708-8007
Fax Number :
Provider Business Practice Location Address
First Line : 36 STEELE ST STE 200
Second Line :
City : DENVER
State : CO
Zip : 80206-5710
Country : US
Telephone Number : 720-708-8007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2010
Last Update Date : 10/27/2024

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