| Howard Roy Cohen M.d., Llc | |
|
4713 E Trindle Rd Mechanicsburg PA 17050-3616 | |
| (717) 737-8686 | |
| Not Available |
| Full Name | Howard Roy Cohen M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4713 E Trindle Rd, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Howard Roy Cohen (OWNER) |
| Authorized Official Contact | 7177378686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Roy Cohen M.d., Llc 4713 E Trindle Rd Mechanicsburg PA 17050-3616 Ph: (717) 737-8686 | Howard Roy Cohen M.d., Llc 4713 E Trindle Rd Mechanicsburg PA 17050-3616 Ph: (717) 737-8686 |
| NPI Number | 1669032512 |
|---|---|
| Provider Enumeration Date | 06/13/2019 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 5092044529 |
|---|---|
| Medicare Enrollment ID | O20190910000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669032512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Howard R Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790786499 PECOS PAC ID: 6608061668 Enrollment ID: I20101116000766 |
| Provider Name | William J Ravert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093276289 PECOS PAC ID: 9234468687 Enrollment ID: I20190910001559 |
| Provider Name | Kala M Ravert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881270759 PECOS PAC ID: 3476961244 Enrollment ID: I20210415000808 |
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