Provider Demographics
NPI:1275572950
Name:COHEN, SAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAUL
Middle Name:
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 1:56 COLPITTS RD
Mailing Address - Street 2:WESTON PRIMARY CARE
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493
Mailing Address - Country:US
Mailing Address - Phone:781-891-0906
Mailing Address - Fax:781-891-0912
Practice Address - Street 1:56 COLPITTS RD SUITE 2
Practice Address - Street 2:WESTON PRIMARY CARE
Practice Address - City:WESTON
Practice Address - State:MA
Practice Address - Zip Code:02493
Practice Address - Country:US
Practice Address - Phone:781-891-0906
Practice Address - Fax:781-891-0912
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA41845174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
B98728Medicare UPIN
MAM11215Medicare ID - Type Unspecified