Provider Demographics
NPI:1407114507
Name:COHN, BURTON HARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:HARRY
Last Name:COHN
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 1:990 FOUNTAIN RUN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-1355
Mailing Address - Country:US
Mailing Address - Phone:239-455-9527
Mailing Address - Fax:
Practice Address - Street 1:990 FOUNTAIN RUN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-1355
Practice Address - Country:US
Practice Address - Phone:239-455-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-26
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014575E207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology