Cohen, Gary Mark

Cohen, Gary Mark is an individual health care provider with primary practice located at 455 Lewis Ave Suite 106, Meriden CT 06451-2121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Cohen, Gary Mark can be contacted via phone (203) 886-0036.

Contact Information

Primary practice address
455 Lewis Ave Suite 106 Meriden CT 06451-2121
Phone: (203) 886-0036
Fax: (203) 886-0072
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 014594 Connecticut
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 014594 Connecticut

Profile Details

NPI number 1093738197
LBN Legal business name Cohen, Gary Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 19th, 2011 - about 15 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 1093738197 NPPES
Connecticut MEDICAID 1145945

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