Cohen, Miriam Susan
Cohen, Miriam Susan is an individual health care provider with primary practice located at 97 Barnes Rd Ste 6, Wallingford CT 06492-1885. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cohen, Miriam Susan can be contacted via phone (203) 753-6776.Contact Information
Primary practice address
97 Barnes Rd Ste 6
Wallingford CT 06492-1885
Phone: (203) 753-6776
Fax: (203) 573-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 040590 | Connecticut |
Profile Details
| NPI number | 1477517548 |
|---|---|
| LBN Legal business name | Cohen, Miriam Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Apr 23rd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477517548 | NPPES |
| Connecticut | MEDICAID | 001405902 |
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