Provider Demographics
NPI:1043583529
Name:COHEN, MARTIN HERBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:HERBERT
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14609 CARONA DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5888
Mailing Address - Country:US
Mailing Address - Phone:301-796-1344
Mailing Address - Fax:301-796-9845
Practice Address - Street 1:14609 CARONA DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5888
Practice Address - Country:US
Practice Address - Phone:301-796-1344
Practice Address - Fax:301-796-9845
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDO2294207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology