Provider Demographics
NPI:1164975108
Name:COHEN, REUT
Entity Type:Individual
Prefix:MRS
First Name:REUT
Middle Name:
Last Name:COHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:REUT
Other - Middle Name:
Other - Last Name:MUSHKAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LDN
Mailing Address - Street 1:1711 WILMART ST
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1711 WILMART ST
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4140
Practice Address - Country:US
Practice Address - Phone:954-809-4558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered