Leroy Ellis Cohen, M.D.

Key facts

NPI

1740288208

Entity type

Individual (NPI type 1)

Primary specialty

Specialist 174400000X

License

D0015306 (MD)

Practice address

6201 Greenbelt Rd
Suite U16
Berwyn Heights, MD 20740-2354

Phone

(301) 474-6996

Fax

(301) 474-3501

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527
  NPD (past)

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

Practice roles

Specialties & licenses

Addresses

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All providers in Berwyn Heights, MD · Specialist in Maryland