Provider Demographics
NPI:1689685562
Name:COHEN, RONALD H (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:H
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 TOLL GATE RD
Mailing Address - Street 2:STE 109
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4458
Mailing Address - Country:US
Mailing Address - Phone:401-732-1860
Mailing Address - Fax:401-738-8505
Practice Address - Street 1:300 TOLL GATE RD
Practice Address - Street 2:STE 101A
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4416
Practice Address - Country:US
Practice Address - Phone:401-738-3100
Practice Address - Fax:401-738-8505
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD088032085D0003X, 2085B0100X, 2085N0700X, 2085N0904X, 2085U0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1570-5OtherKENT HOSPITAL PROVIDER NO
RI16-00137OtherUNITED HEALTHCARE
RI005113OtherBLUE CHIP
RI7007568Medicaid
RI50356624OtherUNICARE LIFE & HEALTH INS
RIP00305895OtherRAILROAD MEDICARE
RI1198-5OtherBCBS OFFICE PROVIDER NO
RIP00305895OtherRAILROAD MEDICARE