Michael S Cohen Md Inc | |
5850 Boymel Dr Fairfield OH 45014-8529 | |
(513) 874-6110 | |
(513) 874-8286 |
Full Name | Michael S Cohen Md Inc |
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Speciality | Internal Medicine |
Location | 5850 Boymel Dr, Fairfield, Ohio |
Authorized Official Name and Position | Michael S Cohen (PRESIDENT) |
Authorized Official Contact | 5138746110 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael S Cohen Md Inc Po Box 640830 Cincinnati OH 45264-0830 Ph: (513) 874-6110 | Michael S Cohen Md Inc 5850 Boymel Dr Fairfield OH 45014-8529 Ph: (513) 874-6110 |
NPI Number | 1649333246 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 05/30/2019 |
Medicare PECOS PAC ID | 7618136920 |
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Medicare Enrollment ID | O20120306000667 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649333246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35049400 (Ohio) | Primary |
Provider Name | Michael S Cohen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972573053 PECOS PAC ID: 4082691589 Enrollment ID: I20040701001683 |
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