Provider Demographics
NPI:1720409519
Name:COHEN, MAX REED (DO)
Entity Type:Individual
Prefix:DR
First Name:MAX
Middle Name:REED
Last Name:COHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:1079 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-3744
Practice Address - Country:US
Practice Address - Phone:401-828-2663
Practice Address - Fax:401-822-0490
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIDO01263207RB0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine