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NPI Code Detail

MEDICARE: DR. EMILY CAROL COHEN M.D.

MEDICARE: DR. EMILY CAROL COHEN M.D.
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
1207Q00000XFamily Medicine PhysicianA89973CA

General Provider Information

NPI Number : 1942293311
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY CAROL COHEN M.D.
Provider Business Mailing Address
First Line : 969 BROADWAY
Second Line :
City : OAKLAND
State : CA
Zip : 94607-4017
Country : US
Telephone Number : 510-251-3967
Fax Number :
Provider Business Practice Location Address
First Line : 1124 INTERNATIONAL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94606-4331
Country : US
Telephone Number : 510-533-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 12/17/2021

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