Mario Cohen, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · W Hartford, CT
NPI 1285741801 · NPPES record last updated Jan 31, 2013
Key facts
- NPI
- 1285741801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 028179 (CT)
- Practice address
- 345 N Main St
Suite 201
W Hartford, CT 06117 - Phone
- (860) 561-7222
- Fax
- (860) 561-7228
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028179 | CT | MD | Obstetrics & Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 028179 | CT | Yes |
Addresses
Primary practice location
345 N Main St
Suite 201
W Hartford, CT 06117
Mailing address
345 N Main St
Suite 201
W Hartford, CT 06117
Phone (860) 561-7222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001281790 | Medicaid | CT |
Other providers in W Hartford, CT
- Srimathi Balakrishna
- Kathleen Cairns
- Marjorie A Michalski
- Arshad Quadri
- Marine Torosyan Sahakyan
- Seniel Lucien LLC
- Helen Trymbulak
All providers in W Hartford, CT · Obstetrics & Gynecology Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.