1881833747 NPI NUMBER - DR. ERIC BRANDON COHEN, M.D.

Summary

NPI Number 1881833747
Entity Type Code Individual
Provider Legal Name DR. ERIC BRANDON COHEN, M.D.
Provider Business Practice Location Address 110 FRANCIS ST
LIVER CENTER, 4TH FLOOR
BOSTON, MA
ZIP 02215
Practice Location Phone Number (847) 668-4760
Provider Taxonomy Code 207RI0008X - Internal Medicine
Specialization Hepatology
Provider Enumeration Date 2/16/2009
Last Update Date 5/2/2011

Detailed Information

NPI Number 1881833747 is assigned to an individual registered under the provider name DR. ERIC BRANDON COHEN, M.D. .

The NPPES NPI record indicates the provider is a male.

The provider is physically located at:

110 FRANCIS ST
LIVER CENTER, 4TH FLOOR
BOSTON, MA
ZIP 02215-501
Phone: (847) 668-4760

The enumeration date for this NPI number is 2/16/2009 and was last updated on 5/2/2011 .

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License Number State
1 207RI0008X Internal Medicine Hepatology 245572 MA View Code

Other (Legacy) Identifiers

The following legacy identifiers for this provider are available:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer

NPI Record

No. Field Name Field Value
1 NPI 1881833747
2 Entity Type Code 1
3 Provider Last Name Legal Name COHEN
4 Provider First Name ERIC
5 Provider Middle Name BRANDON
6 Provider Name Prefix Text DR.
7 Provider Credential Text M.D.
8 Provider First Line Business Practice Location Address 110 FRANCIS ST
9 Provider Second Line Business Practice Location Address LIVER CENTER, 4TH FLOOR
10 Provider Business Practice Location Address City Name BOSTON
11 Provider Business Practice Location Address State Name MA
12 Provider Business Practice Location Address Postal Code 022155501
13 Provider Business Practice Location Address Country Code If outside U S US
14 Provider Business Practice Location Address Telephone Number 8476684760
15 Provider Enumeration Date 2/16/2009
16 Last Update Date 5/2/2011
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 207RI0008X
19 Provider License Number 1 245572
20 Provider License Number State Code 1 MA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Is Sole Proprietor N

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This page was last updated on: 5/14/2013
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.