Provider Demographics
NPI:1558461400
Name:COHEN, BETH ELLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ELLEN
Last Name:COHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4150 CLEMENT ST
Mailing Address - Street 2:SFVAMC GENERAL INTERNAL MEDICINE SECTION (111A1)
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1545
Mailing Address - Country:US
Mailing Address - Phone:415-750-2093
Mailing Address - Fax:415-379-5573
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:SFVAMC MEDICAL PRACTICE 1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-750-2129
Practice Address - Fax:415-750-6614
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA91244207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine