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1962478008

NPI Code Detail

MEDICARE: JEFFREY P COHEN MD

MEDICARE: JEFFREY P 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
1	207Q00000X	Family Medicine Physician	75592	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J12596	OTHER		BLUE CARE ELECT
2	J12596	OTHER		BLUE SHIELD INDEMNITY
3	042472266	OTHER		ONE HEALTH PLAN
4	406057	OTHER		TUFTS HEALTH PLAN
5	042472266	OTHER		THREE RIVERS
6	043058466	OTHER		TRICARE CHAMPUS
7	26722	OTHER		HEALTHY START
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0100249	OTHER		EVERCARE
10	7522604	OTHER		AETNA US HEALTHCARE
11	917599	OTHER		FIRST HEALTH
12	042472266	OTHER		UNITED HEALTHCARE
13	2973114	OTHER		CIGNA HEALTH PLAN
14	9900891	OTHER		FALLON COMM HEALTH PLAN
15	J12596	OTHER		BLUE SHIELD HMO BLUE
16	AA1280	OTHER		HARVARD PILGRIM
17	26722	OTHER		CHILDRENS MED SECURITY
18	784236	OTHER		MVP HEALTH CARE

General Provider Information

NPI Number	:	1962478008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY P COHEN MD

Provider Business Mailing Address
First Line	:	PO BOX 415348
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-5348
Country	:	US
Telephone Number	:	800-225-8885
Fax Number	:	508-334-8105

Provider Business Practice Location Address
First Line	:	10 N MAIN ST
Second Line	:
City	:	CHARLTON
State	:	MA
Zip	:	01507-1590
Country	:	US
Telephone Number	:	508-248-3015
Fax Number	:	508-248-4734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	11/07/2025

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Directions to “ JEFFREY P COHEN MD” Practice Location

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