Provider Demographics
NPI:1467438861
Name:COHN, ARTHUR S (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:S
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 1:720 HARRISON AVE
Mailing Address - Street 2:DOB 503
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2371
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:830 HARRISON AVENUE
Practice Address - Street 2:SUITE 1400
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-638-8124
Practice Address - Fax:617-638-6424
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY098420174400000X
MA233780207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110078755AMedicaid
MA110078755AMedicaid
NY0090188OtherGHI
NY000406494004OtherBLUE SHIELD
NY49E9410OtherBLUE CROSS
NY33680BMedicare ID - Type Unspecified
NY00380245Medicaid
NY6756OtherWELLCARE
NY04143OtherMVP
NY10000361OtherCDPHP
NY7766063OtherAETNA
NY06756OtherGHI HMO
NY040007361Medicare ID - Type UnspecifiedMEDICARE RAILROAD
MA110078755AMedicaid