Provider Demographics
NPI:1104835313
Name:TUCSON ASSOCIATES IN NEPHROLOGY & HYPERTENSION
Entity Type:Organization
Organization Name:TUCSON ASSOCIATES IN NEPHROLOGY & HYPERTENSION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-622-3569
Mailing Address - Street 1:1773 W SAINT MARYS RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2654
Mailing Address - Country:US
Mailing Address - Phone:520-622-3569
Mailing Address - Fax:520-623-7257
Practice Address - Street 1:1773 W SAINT MARYS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2654
Practice Address - Country:US
Practice Address - Phone:520-622-3569
Practice Address - Fax:520-623-7257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZWCHYYMedicare ID - Type Unspecified