Provider Demographics
NPI:1467446039
Name:COHEN, MAX W (MD)
Entity Type:Individual
Prefix:MR
First Name:MAX
Middle Name:W
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2105 BRAXTON LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2801
Mailing Address - Country:US
Mailing Address - Phone:336-333-6306
Mailing Address - Fax:336-333-6309
Practice Address - Street 1:2105 BRAXTON LN
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2801
Practice Address - Country:US
Practice Address - Phone:336-333-6306
Practice Address - Fax:336-333-6309
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC200200507207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC800313OtherPARTNERS
NC89131GVOtherCAROLINA ACCESS
NC89131GVMedicaid
NC0900574OtherUNITED HEALTHCARE
NC195939OtherMEDCOST
NCP00409296OtherRAILROAD MEDICARE
NC131GVOtherBCBS OF NC
NC131GVOtherBCBS OF NC
NCH67358Medicare UPIN
NC89131GVMedicaid