Provider Demographics
NPI:1710996558
Name:DRS COHEN AND BRECHER
Entity Type:Organization
Organization Name:DRS COHEN AND BRECHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC-TREAS
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:BRECHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-681-7310
Mailing Address - Street 1:2101 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-681-7310
Mailing Address - Fax:301-681-6975
Practice Address - Street 1:2101 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-681-7310
Practice Address - Fax:301-681-6975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD04037404208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC185174Medicare PIN
DCW07702Medicare UPIN