Cohen, Mark William

Cohen, Mark William is an individual health care provider with primary practice located at 321 Main St , Acton MA 01720-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cohen, Mark William can be contacted via phone (978) 635-8700.

Contact Information

Primary practice address
321 Main St Acton MA 01720-3718
Fax: (978) 635-8920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 49067 Massachusetts

Profile Details

NPI number 1396730818
LBN Legal business name Cohen, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396730818 NPPES
Massachusetts Other 49067 STATE LICENSE

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