Cohen, Evan Bruce

Cohen, Evan Bruce is an individual health care provider with primary practice located at 44 W River St , Providence RI 02904-2609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cohen, Evan Bruce can be contacted via phone (401) 274-4800.

Contact Information

Primary practice address
44 W River St Providence RI 02904-2609
Phone: (401) 274-4800
Fax: (401) 454-0410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 6867 Rhode Island

Profile Details

NPI number 1538158068
LBN Legal business name Cohen, Evan Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jan 8th, 2009 - about 17 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 1538158068 NPPES
Rhode Island Other 406204 TUFTS
Rhode Island MEDICAID 7000104 TUFTS
Rhode Island Other 1143 TUFTS
Rhode Island Other 303204 TUFTS

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