Cohen, Theodore

Cohen, Theodore is an sole proprietor health care provider with primary practice located at 1663 Peregrino Way , San Jose CA 95125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Cohen, Theodore can be contacted via phone (408) 266-3019.

Contact Information

Primary practice address
1663 Peregrino Way San Jose CA 95125
Phone: (408) 266-3019
Fax: (408) 265-0807
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X G8450 California

Profile Details

NPI number 1619198207
LBN Legal business name Cohen, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Mar 7th, 2023 - about 2 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 1619198207 NPPES
California Other G8450 MEDICAL LICENSE

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